Organization
MARK A JOHNSON, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ALAN JOHNSON MD (PORVIDER)
(936) 271-0665
Entity
Organization
Contact information
Practice address
100 MEDICAL CENTER BLVD STE 100, CONROE, TX 77304-2821
(936) 271-0665
(936) 271-0664
Mailing address
15713 LAKEWAY DR, WILLIS, TX 77318-3181
(281) 723-6926
(844) 855-6799
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
07/21/2006
Last updated
11/23/2022
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