Individual provider · NPI-1

Mary Elizabeth Cavnar-Johnson, M.D.

Family Medicine · Kingwood, TX

NPI number1467569400
StatusActive
Last updated in NPPESAug 27, 2009

Details

NPI
1467569400
Entity type
Individual (NPI-1)
Name
Mary Elizabeth Cavnar-Johnson
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Aug 24, 2006
Last updated
Aug 27, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineH 2293TXYes

Practice location

201 Kingwood Medical Drive
Ste B500
Kingwood, TX 77339

Phone 281-358-5574 · Fax 281-358-9677

Mailing address

201 Kingwood Medical Drive
Ste B500
Kingwood, TX 77339

Phone 281-358-5574 · Fax 281-358-9677

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