Provider Demographics
NPI:1225907421
Name:JOHNSON, DEANDRE M (DC)
Entity type:Individual
Prefix:
First Name:DEANDRE
Middle Name:M
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 BURNETT ST APT 3401
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77009-8882
Mailing Address - Country:US
Mailing Address - Phone:337-849-2595
Mailing Address - Fax:
Practice Address - Street 1:12651 TOMBALL PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77086
Practice Address - Country:US
Practice Address - Phone:346-842-2225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-04
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15593111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor