Individual
CONNOR JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 BAYLOR PLZ # MS 390, HOUSTON, TX 77030-3498
(713) 798-6078
Mailing address
1610 SARAH BROOKS DR, KELLER, TX 76248-2009
(817) 909-0479
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/17/2022
Last updated
04/17/2022
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