Individual
ANITRA LYNNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 W MEDICAL CENTER BLVD STE 300, WEBSTER, TX 77598-4402
(713) 557-0300
(713) 557-3301
Mailing address
PO BOX 66308, HOUSTON, TX 77266-6308
(832) 548-5000
(713) 559-3255
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M5253
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013QR
BLUE CROSS BLUE SHIELD
TX
05
—
190762801
—
TX
05
—
190762802
—
TX
Enumeration date
01/15/2007
Last updated
07/21/2022
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