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NPI Code Detail

MEDICARE: DR. GREGORY EUGENE JOHNSON D.C.

MEDICARE:  DR. GREGORY EUGENE JOHNSON  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor02810TX
2111N00000XChiropractorDC17722CA

General Provider Information

NPI Number : 1073739678
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GREGORY EUGENE JOHNSON D.C.
Provider Business Mailing Address
First Line : 363 N SAM HOUSTON PKWY E
Second Line : STE 1100
City : HOUSTON
State : TX
Zip : 77060-2404
Country : US
Telephone Number : 281-405-2611
Fax Number :
Provider Business Practice Location Address
First Line : 363 N SAM HOUSTON PKWY E
Second Line : STE 1100
City : HOUSTON
State : TX
Zip : 77060-2404
Country : US
Telephone Number : 281-405-2611
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2007
Last Update Date : 06/03/2012

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Directions to “ DR. GREGORY EUGENE JOHNSON D.C.” Practice Location

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