Provider Demographics
NPI:1952830366
Name:MCGREW, JOHNNY JAMES JR (MPH)
Entity Type:Individual
Prefix:MR
First Name:JOHNNY
Middle Name:JAMES
Last Name:MCGREW
Suffix:JR
Gender:M
Credentials:MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8407 ASH GARDEN CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-6523
Mailing Address - Country:US
Mailing Address - Phone:907-230-9725
Mailing Address - Fax:
Practice Address - Street 1:8407 ASH GARDEN COURT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083
Practice Address - Country:US
Practice Address - Phone:907-230-9725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program