Individual
DR. BENJAMIN DAVID JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2101 NASA PARKWAY, SD3, HOUSTON, TX 77058
(832) 205-5371
Mailing address
2101 NASA PARKWAY, SD3, HOUSTON, TX 77058
(832) 205-5371
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
Q1180
TX
Other
Enumeration date
06/01/2011
Last updated
06/09/2021
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