Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0207X | Pediatric Hematology-Oncologist | AP126271 | TX |
Y | 363L00000X | Nurse Practitioner | AP126271 | TX |
N | 363LF0000X | Nurse Practitioner - Family Medicine | AP126271 | TX |
NPI | 1265838841 |
---|---|
Provider Name | Mrs. Danielle Kuban Johnston |
First Address | Houston, TX 77046-0207 |
Second Address | Houston, TX 77030-2608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2014 |
Last Update Date | 23/01/2015 |