ANITRA JOHNSON MD PA
Medical Practice at Space Park Dr, Houston, TX

License number
Texas M5253
Category
Medical Practice
Type
Specialist
Owner
Name: ANITRA JOHNSON MD
Title: MD OWNER
Phone: (281) 333-3247
Address
Address
2060 Space Park Dr SUITE 208, Houston, TX 77058
National Provider ID: 1649457490
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ANITRA JOHNSON, M.D., PA

Houston, TX

Doing business as:
Anitra Johnson, M.D., PA
Registration:
Nov 7, 2007
Addresses:
16606 Shadow Path Dr, Houston, TX 77059 (Mailing)
19220 SPACE CENTER BLVD, Houston, TX 77058
State ID:
0800895030
Business type:
Professional Association
Member, Director, President:
Anitra Johnson (Member, Director, President)
TIN:
32034953029

Anitra Johnson MD PA

19220 SPACE CENTER BLVD, Houston, TX 77058

Industry:
Medical Doctor's Office

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