Johnson, Anitra Lynne
Johnson, Anitra Lynne is an sole proprietor health care provider with primary practice located at 400 W Medical Center Blvd Ste 300 , Webster TX 77598-4402. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Johnson, Anitra Lynne can be contacted via phone (713) 557-0300.Contact Information
Primary practice address
400 W Medical Center Blvd Ste 300
Webster TX 77598-4402
Phone: (713) 557-0300
Fax: (713) 557-3301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | M5253 | Texas |
Profile Details
| NPI number | 1497806699 |
|---|---|
| LBN Legal business name | Johnson, Anitra Lynne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 15th, 2007 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497806699 | NPPES |
| Texas | MEDICAID | 190762801 | |
| Texas | Other | 0013QR | |
| Texas | MEDICAID | 190762802 |
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