Provider Demographics
NPI:1326682386
Name:RIVERS-JOHNSON, KAREN ANITA
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:ANITA
Last Name:RIVERS-JOHNSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22929 BIRNAM WOOD BLVD UNIT A
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-1432
Mailing Address - Country:US
Mailing Address - Phone:713-820-7733
Mailing Address - Fax:
Practice Address - Street 1:22929 BIRNAM WOOD BLVD UNIT A
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77373-1432
Practice Address - Country:US
Practice Address - Phone:713-820-7733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-03
Last Update Date:2019-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker