Individual
FAYE M. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
K5316
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160041301
—
TX
01
—
8J1873
BCBS
TX
Enumeration date
10/19/2006
Last updated
04/05/2010
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