MEDICARE: DR. ZARIFEH A JOHNSON D.D.S

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
1	1223G0001X	General Practice Dentistry	17901	TX

General Provider Information

NPI Number	:	1447210422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZARIFEH A JOHNSON D.D.S

Provider Business Mailing Address
First Line	:	1910 W ALABAMA ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-2706
Country	:	US
Telephone Number	:	713-522-0062
Fax Number	:	713-522-1443

Provider Business Practice Location Address
First Line	:	1910 W ALABAMA ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-2706
Country	:	US
Telephone Number	:	713-522-0062
Fax Number	:	713-522-1443

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	07/22/2009

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