Individual
JOHNSON M DE SAN ANDRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
16019 GREENWOOD PINES DR, HOUSTON, TX 77062-4735
(281) 799-6719
Mailing address
16019 GREENWOOD PINES DR, HOUSTON, TX 77062-4735
(282) 817-9967
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
649588
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130154107
—
TX
Enumeration date
09/08/2006
Last updated
03/27/2026
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