Johnson, Charlie Glen

Johnson, Charlie Glen is an individual health care provider with primary practice located at 1500 Citywest Blvd Ste 300 , Houston TX 77042. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Johnson, Charlie Glen can be contacted via phone (713) 620-4000.

Contact Information

Primary practice address
1500 Citywest Blvd Ste 300 Houston TX 77042
Fax:
Website:

Health care specialties

Profile Details

NPI number 1518004860
LBN Legal business name Johnson, Charlie Glen
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jul 15th, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518004860 NPPES
Texas Other 622219 RN
Texas Other 075858 RN

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