MEDICARE: JULIE HAUSMANN MD

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	2085R0202X	Diagnostic Radiology Physician	35.152787	OH

General Provider Information

NPI Number	:	1790910362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE HAUSMANN MD

Provider Business Mailing Address
First Line	:	920 SL YOUNG BLVD
Second Line	:	WP 1130
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73104-5033
Country	:	US
Telephone Number	:	405-271-5963
Fax Number	:

Provider Business Practice Location Address
First Line	:	920 SL YOUNG BLVD
Second Line	:	WP 1130
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73104-5033
Country	:	US
Telephone Number	:	405-271-5963
Fax Number	:

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

Provider Enumeration Date	:	05/26/2009
Last Update Date	:	08/07/2025

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