Individual
AMBUS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2900 DICKINSON AVE STE A, DICKINSON, TX 77539-7586
(281) 967-7500
Mailing address
6730 RIVER RIDGE LN, DICKINSON, TX 77539-6394
(409) 599-6891
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
TX
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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