person
Dustin Johnson, MD
Student in an Organized Health Care Education/Training Program in Houston, Texas
NPI 1669720942

Dustin Johnson is a Student in an Organized Health Care Education/Training Program based in Houston, TX. Dustin Johnson practices in Houston, TX and has the professional credentials of MD. The NPI Number for Dustin Johnson is 1669720942 and holds a License No. BP1-0040197 (Texas).

The current practice location address for Dustin Johnson is 6431 Fannin St, Houston, TX and can be reached out via phone at 713-500-6526 and via fax at 713-500-6530.

Location: 6431 Fannin St, Houston, TX, 77030-1501
person
Provider Profile Details
NPI Number
1669720942
Provider Name
Dustin Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6431 Fannin St, Houston, TX, 77030-1501
Phone Number
713-500-6526
Fax Number
713-500-6530
Provider Enumeration Date
08/17/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6431 Fannin St
City
State
Zip
77030-1501
Phone Number
713-500-6526
Fax Number
713-500-6530
person
Provider Business Mailing Address Details
Address
6431 Fannin St
City
State
Zip
77030-1501
Phone Number
713-500-6526
Fax Number
713-500-6530
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
BP1-0040197 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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