MEDICARE: DR. JULIA ROJAS MCDONOUGH DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1198620	TX

General Provider Information

NPI Number	:	1184860793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIA ROJAS MCDONOUGH DPT

Provider Business Mailing Address
First Line	:	14814 S CANARY YELLOW CIR
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77433-6633
Country	:	US
Telephone Number	:	832-439-6061
Fax Number	:

Provider Business Practice Location Address
First Line	:	13700 VETERANS MEMORIAL DR
Second Line	:	# 410
City	:	HOUSTON
State	:	TX
Zip	:	77014-1026
Country	:	US
Telephone Number	:	281-583-7191
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2009
Last Update Date	:	10/05/2011

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