Jakeen Williams Johnson, MD | |
25553 Us Highway 59, Porter, TX 77365-5500 | |
(713) 442-2100 | |
Not Available |
Full Name | Jakeen Williams Johnson |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 25553 Us Highway 59, Porter, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295821486 | NPI | - | NPPES |
176064704 | Medicaid | TX | |
176064703 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | M1404 (Texas) | Primary |
Entity Name | Kelsey-seybold Medical Group, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013915255 PECOS PAC ID: 9739093527 Enrollment ID: O20031117000204 |
Mailing Address | Practice Location Address |
---|---|
Jakeen Williams Johnson, MD 11511 Shadow Creek Pkwy, Pearland, TX 77584-7298 Ph: (713) 442-0000 | Jakeen Williams Johnson, MD 25553 Us Highway 59, Porter, TX 77365-5500 Ph: (713) 442-2100 |
Mr. Chikku Paul, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 25553 Us Highway 59, Porter, TX 77365 Phone: 713-442-2100 | |
Amy Catherine Lothian, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 25553 U.s. Highway 59, Porter, TX 77365 Phone: 713-442-2100 | |
Andreas C. Nikolaidis, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 24375 Fm 1314 Rd, Porter, TX 77365 Phone: 281-354-5663 Fax: 281-354-1995 | |
Kathryn Schmidt Wright, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 25553 Us Highway 59, Porter, TX 77365 Phone: 713-442-2100 |