Organization
ITERON SYSTEMS LLC
Active
Other names
PLATINUM PHYSICIAN ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCKETT JOHNSON MD (MANAGING MEMBER)
(713) 857-6030
Entity
Organization
Contact information
Practice address
7804 SCOTT ST, HOUSTON, TX 77051-1644
(713) 857-6030
(713) 669-9254
Mailing address
7804 SCOTT ST, HOUSTON, TX 77051-1644
(713) 857-6030
(713) 669-9199
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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