Individual
DESIREE D JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7457 HARWIN DR STE 170, HOUSTON, TX 77036-2025
(713) 429-5114
Mailing address
2418 FRANCIS ST # B, HOUSTON, TX 77004-3126
(713) 585-5318
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03766888
—
TX
Enumeration date
10/17/2022
Last updated
10/17/2022
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