Individual
DR. FARRELL B JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12575 TOULOUSE ST, HOUSTON, TX 77015-3316
(713) 218-8186
(713) 218-8186
Mailing address
12575 TOULOUSE ST, HOUSTON, TX 77015-3316
(713) 218-8186
(713) 218-8186
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
L4009
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1577294
—
LA
Enumeration date
09/14/2006
Last updated
10/31/2013
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