MEDICARE: EUGENIA YVETTE JOHNSON FNP

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	363LF0000X	Family Nurse Practitioner	1029978	TX

General Provider Information

NPI Number	:	1699368514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EUGENIA YVETTE JOHNSON FNP

Provider Business Mailing Address
First Line	:	11920 ASTORIA BLVD STE 270
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-6159
Country	:	US
Telephone Number	:	832-934-4400
Fax Number	:

Provider Business Practice Location Address
First Line	:	11920 ASTORIA BLVD STE 270
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-6159
Country	:	US
Telephone Number	:	832-934-4400
Fax Number	:

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

Provider Enumeration Date	:	02/12/2021
Last Update Date	:	03/22/2022

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