Takeiyah Ellyse Johnson
Takeiyah Ellyse Johnson is an Electrodiagnostic Medicine Physician in Humble, Texas. Licensed in Texas. Registered with an NPI since 2022.
- Licensed in
- TX
- In the registry since
- 2022
Practice location Address checks out
9702 N Sam Houston Pkwy EHumble, TX 77396-4528
Phone: (256) 655-0662
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Specialties & licences
| Electrodiagnostic Medicine Physician (primary) | Taxonomy 204R00000X · Licence 000000 (TX) |
|---|
Record details
| NPI number | 1285366500 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 27, 2022 |
| Last updated in NPPES | June 27, 2022 |
| Certification date | May 26, 2022 |
| Mailing address | 9702 N Sam Houston Pkwy E, Humble, TX 77396-4528 |