DEDRA JOHNSON

Address: 8610 Martin Luther King Blvd, Houston, TX 77033-2308

DEDRA JOHNSON (NPI# 1225621154, PAC ID# 2860898145) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1225621154
by National Plan and Provider Enumeration System (NPPES)
PECOS Associate Control (PAC) ID 2860898145
by Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20210913000710
Last Name JOHNSON
First Name DEDRA
Gender F
Address 8610 Martin Luther King Blvd
Houston
TX 77033-2308
Telephone 7164442537
Graduation Year 2019
Primary Specialty NURSE PRACTITIONER
Professional Accepts Medicare Assignment Y
Group Accepts Medicare Assignment M

Provider Overview

Nation Provider ID (NPI) 1225621154
by National Plan and Provider Enumeration System (NPPES)
Full Name DEDRA JOHNSON
Other Name DEDRA JOHNSON
Taxonomy Code 363LF0000X
Taxonomy Classification Nurse Practitioner · Family
Location 8554 Ruby River Ln, Richmond, TX 77407-2580

Office Location

Street Address 8610 MARTIN LUTHER KING BLVD
City HOUSTON
State TX
Zip Code 77033-2308

Physicians in the same zip code prefix

Name Specialty Organization Address
Edward H Mazique Internal Medicine 7706 Martin Luther King Jr Blvd, Houston, TX 77033-2014
Dia R Waguespack Nephrology Ut Physicians 5989 S Loop E, Houston, TX 77033-1017
Donald A Molony Nephrology Ut Physicians 5989 S Loop E, Houston, TX 77033-1017

Physicians in the same city

Name Specialty Organization Address
Kevin K Yu General Practice 5656 Kelley St, Houston, TX 77026-1967
Laura N Johnson Qualified Speech Language Pathologist 1615 Cottage Landing Ln, Houston, TX 77077-1922
Stephanie Saca Handal Optometry Garcia and Associates, East Houston P.a. 12970 E Fwy, Houston, TX 77015-5710
Erin Frost Vaughan Nurse Practitioner L. Ehrlich and Associates Medical Clinic, P.l.l.c. 2535 Kirby Dr, Houston, TX 77019-6320
Geoffrey Collett Ophthalmology Charles A. Garcia,Mdpa 4704 Montrose Blvd, Houston, TX 77006-6122
Christopher T Skalomenos Hospitalist 6431 Fannin St, Houston, TX 77030-1501
Nichole Tyler Nurse Practitioner Minuteclinic Diagnostic of Texas LLC 2469 Bay Area Blvd, Houston, TX 77058-1519
Uzochukwu O Emukah Nurse Practitioner Robert N Earle Md Pa 1002 Gemini St, Suite 205, Houston, TX 77058-2746
Jed A Graham Family Medicine 1400 Mckinney St, Houston, TX 77010-4023
Zahra Malik Nurse Practitioner Everest Urgent Care Md Pa 11626 T C Jester Blvd, Suite 500, Houston, TX 77067-1309
Find all in HOUSTON

Competitor

Search similar physicians

City HOUSTON
Zip Code 77033
Specialty NURSE PRACTITIONER
City + Specialty HOUSTON + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.