Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Johanna Kanerva Domer, MD

Individual provider Pediatrics Physician · NPI 1093089187

Dr. Johanna Kanerva Domer, MD is a Pediatrics Physician in Houston, Texas. Works from 2 locations. Licensed in Arizona and Texas.

Licensed in
AZ, TX
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6621 Fannin St
Houston, TX 77030-2358
Phone: (832) 824-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4848 E Cactus Rd, Scottsdale, AZ 85254-4163 — (480) 443-0050

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence U6945 (TX)
Pediatrics Physician Taxonomy 208000000X · Licence 29475 (AZ)

Record details

NPI number1093089187
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 7, 2012
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024

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