Individual
GIDGET MICHELLE JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST,CSFA
Contact information
Practice address
16100 SOUTH FWY, PEARLAND, TX 77584-1895
(713) 413-5770
Mailing address
PO BOX 1136, PEARLAND, TX 77588-1136
(281) 948-1520
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
172773
TX
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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