Individual
DALLAS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12614 SOUTHWEST FWY, STAFFORD, TX 77477-3839
(713) 514-1100
(404) 494-7435
Mailing address
4600 GULF FWY, HOUSTON, TX 77023
(713) 522-6240
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
E-4925
AR
207V00000X
Obstetrics & Gynecology Physician
Primary
H4441
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163442001
—
AR
Enumeration date
10/13/2006
Last updated
11/25/2019
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