Anitra Johnson MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

M5253 Issued in TX

Legal business name

ANITRA JOHNSON MD PA

Practice address

2060 Space Park Dr
Suite 208
Houston, TX 77058-3600

Phone

(281) 333-3247

Fax

(281) 333-9358

NPI assigned

Jan 23, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anitra Johnson, MD

Title

MD Owner

Phone

(281) 333-3247

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1649457490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4346",
            "address_2": "DEPT 428",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104346",
            "telephone_number": "713-554-5300",
            "fax_number": "713-554-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 SPACE PARK DR",
            "address_2": "SUITE 208",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583600",
            "telephone_number": "281-333-3247",
            "fax_number": "281-333-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANITRA JOHNSON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ANITRA",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "281-333-3247",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "M5253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190762801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kate Anim Koranteng
• Floxy U Animadu
• Allison Aninzo, PA-C
• Linda Anit, PT
• Bianca Ramirez Anito
• Amy Douzart Aniyeloye, LPC
• Sylvia Aniyeloye
• Anjali Varde D.O., P.a.
• Ank Healthcare LLC
• Alexander George Ankar, MD

• Specialist in Houston, TX
• Providers in Houston, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.