Individual
CHAD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
11800 ASTORIA BLVD, HOUSTON, TX 77089-6041
(713) 400-2990
Mailing address
31322 HORSESHOE MEADOW BEND LN, FULSHEAR, TX 77441-2321
(717) 448-7684
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1169093
TX
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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