Individual
DR. SMITH L JOHNSTON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2101 NASA PKWY, MAIL CODE SD26, HOUSTON, TX 77058-3607
(281) 483-0453
Mailing address
1402 REDWAY LN, HOUSTON, TX 77062-5411
(281) 480-0791
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
J3823
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J3823
TEXAS MEDICAL BOARD ID
TX
Enumeration date
06/12/2007
Last updated
07/08/2007
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