Provider Demographics
NPI:1851879423
Name:JOHNSON, NATASHA C (MS, CNIM)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:C
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:MS, CNIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2150 TOWN SQUARE PL STE 290
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-1643
Mailing Address - Country:US
Mailing Address - Phone:281-768-6730
Mailing Address - Fax:281-768-6766
Practice Address - Street 1:PO BOX 459
Practice Address - Street 2:
Practice Address - City:PRAIRIEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70769-0459
Practice Address - Country:US
Practice Address - Phone:225-239-2301
Practice Address - Fax:225-341-8526
Is Sole Proprietor?:No
Enumeration Date:2018-08-05
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic