Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | N8018 | TX |
Y | 207R00000X | Internist | N8018 | TX |
Y | 111NI0900X | Internist | N8018 | TX |
N | 207RX0202X | Medical Oncology | N8018 | TX |
NPI | 1043521313 |
---|---|
Provider Name | Dr. Ewan Douglas Johnson |
First Address | Tomball, TX 77375-3333 |
Second Address | Tomball, TX 77375-3333 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2010 |
Last Update Date | 11/06/2021 |