MEDICARE: DR. JOYCE JIA-ANN JOHNSRUD M.D.

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	207R00000X	Internal Medicine Physician	S9160	TX
2	207RI0200X	Infectious Disease Physician	S9160	TX

General Provider Information

NPI Number	:	1528401163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOYCE JIA-ANN JOHNSRUD M.D.

Provider Business Mailing Address
First Line	:	PO BOX 58538
Second Line	:
City	:	WEBSTER
State	:	TX
Zip	:	77598-8538
Country	:	US
Telephone Number	:	346-333-2356
Fax Number	:	346-200-3387

Provider Business Practice Location Address
First Line	:	14100 SOUTHWEST FWY STE 400
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-3465
Country	:	US
Telephone Number	:	346-333-2356
Fax Number	:	346-200-3387

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

Provider Enumeration Date	:	04/13/2013
Last Update Date	:	09/17/2025

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