Provider Demographics
NPI:1174723738
Name:BEENA JOHNSON, M.D.,P.A.
Entity type:Organization
Organization Name:BEENA JOHNSON, M.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BEENA
Authorized Official - Middle Name:M
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-825-4900
Mailing Address - Street 1:9250 PINECROFT DR
Mailing Address - Street 2:STE. 530
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3218
Mailing Address - Country:US
Mailing Address - Phone:281-825-4900
Mailing Address - Fax:281-825-4904
Practice Address - Street 1:9250 PINECROFT DR
Practice Address - Street 2:STE. 530
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3204
Practice Address - Country:US
Practice Address - Phone:281-825-4900
Practice Address - Fax:281-825-4904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty