Individual
MS. CYNAE ALONIA LILLIAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP123426
TX
363L00000X
Nurse Practitioner
AP123426/RN 741941
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
368527301
—
TX
01
—
368527302
MEDICAID-CSHCN
TX
01
—
8179MB
BCBS
TX
01
—
P02013030
RAILROAD MEDICARE
TX
Enumeration date
09/10/2013
Last updated
06/11/2021
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