Individual
ANGELA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9422 PECOS PASS CT, CYPRESS, TX 77433-3778
(855) 832-6727
Mailing address
1760 BARKER CYPRESS RD, 823, HOUSTON, TX 77084-6152
(757) 289-9262
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
40195361
TX
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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