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Organization

KEVIN J JOHNSON

Active
Other names
Cullen Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KEVIN JEROME JOHNSON (OWNER)
(713) 738-6955
Entity
Organization

Contact information

Practice address
12805 CULLEN BLVD., D, HOUSTON, TX 77047
(713) 738-6955
Mailing address
12805 CULLEN BLVD., D, HOUSTON, TX 77047
(713) 738-6955

Taxonomy

Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
H0554
TX

Other

Enumeration date
11/18/2008
Last updated
07/10/2009
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