Dr Benjamin David Johansen, DO | |
2101 Nasa Parkway, Sd3, Houston, TX 77058 | |
(832) 205-5371 | |
Not Available |
Full Name | Dr Benjamin David Johansen |
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Gender | Male |
Speciality | Preventive Medicine - Aerospace Medicine |
Location | 2101 Nasa Parkway, Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700170255 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083A0100X | Preventive Medicine - Aerospace Medicine | Q1180 (Texas) | Primary |
Entity Name | Utmb Faculty Group Practice |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
Mailing Address | Practice Location Address |
---|---|
Dr Benjamin David Johansen, DO 2101 Nasa Parkway, Sd3, Houston, TX 77058 Ph: (832) 205-5371 | Dr Benjamin David Johansen, DO 2101 Nasa Parkway, Sd3, Houston, TX 77058 Ph: (832) 205-5371 |
Dr. Joseph G Nevarez, MD Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 6411 Fannin St, Hyperbaric & Wound Care Center, Houston, TX 77030 Phone: 713-704-5900 | |
Dr. William Farrington Miller, MD, MPH Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1661 Tanglewood Blvd, Houston, TX 77056 Phone: 713-622-8100 Fax: 713-961-2958 | |
Elizabeth C Frenzel, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1515 Holcombe Blvd, Houston, TX 77030 Phone: 713-792-6161 | |
Dr. Jeffrey D. Britton, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2646 S Loop W Ste 550, Houston, TX 77054 Phone: 281-513-1884 | |
Cedrick Smith, MD Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 N Post Oak Rd, Houston, TX 77055 Phone: 615-778-4066 Fax: 615-778-9114 | |
Dr. Monica Andrea Clark-reed, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 11160 Fondren Rd, Houston, TX 77096 Phone: 832-530-4444 Fax: 832-683-4133 | |
Oluwatoyosi Olumide, Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2201 Arbor St, Houston, TX 77004 Phone: 833-430-4807 |