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Braden Johnson

Surgery, Plastic and Reconstructive Surgery in Galveston, TX. Individual provider (NPI-1).

NPI number1407547532
StatusActive
Last updated in NPPESMay 18, 2023

Details

NPI
1407547532
Entity type
Individual (NPI-1)
Name
Braden Johnson
Sex
Male
Sole proprietor
No
Enumeration date
May 18, 2023
Certification date
May 18, 2023
Last updated
May 18, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0122X Surgery, Plastic and Reconstructive SurgeryBP10084520TXYes

Practice location

301 University Blvd
Galveston, TX 77555-5302

Phone 409-772-8119

Mailing address

301 University Blvd
Galveston, TX 77555-5302

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