Provider Demographics
NPI:1881881936
Name:JOHNSON, ANDREW F (PT)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:F
Last Name:JOHNSON
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10907 I-10 EAST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77029-1911
Mailing Address - Country:US
Mailing Address - Phone:713-533-5400
Mailing Address - Fax:281-674-3081
Practice Address - Street 1:10907 I-10 EAST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77029-1911
Practice Address - Country:US
Practice Address - Phone:713-533-5400
Practice Address - Fax:281-674-3081
Is Sole Proprietor?:No
Enumeration Date:2007-10-02
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11208712251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic