Healthcare Provider Details

I. General information

NPI: 1871680835
Provider Name (Legal Business Name): JOHN A. JIULIANO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2006
Last Update Date: 10/06/2024
Certification Date: 10/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 W MAYFIELD RD STE 118
ARLINGTON TX
76014-2084
US

IV. Provider business mailing address

515 W MAYFIELD RD STE 118
ARLINGTON TX
76014-2084
US

V. Phone/Fax

Practice location:
  • Phone: 877-314-8990
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberT2892
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberT2892
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: