Organization
WM. KENT JOHNSON, M.D., F.A.C.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSIE VAILES (SECRETARY)
(281) 893-2288
Entity
Organization
Contact information
Practice address
17203 RED OAK DR STE 103, HOUSTON, TX 77090-2612
(281) 893-2288
(281) 893-2882
Mailing address
17203 RED OAK DR STE 103, HOUSTON, TX 77090-2612
(281) 893-2288
(281) 893-2882
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
H6320
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00662G
MEDICARE ID
TX
Enumeration date
04/22/2008
Last updated
04/22/2008
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