Healthcare Provider Details

I. General information

NPI: 1184844268
Provider Name (Legal Business Name): JULIA ANNE DILLIARD FNP AND ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2007
Last Update Date: 04/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9301 N CENTRAL EXPY STE 570
DALLAS TX
75231-0806
US

IV. Provider business mailing address

18601 LBJ FRWY STE 615
MESQUITE TX
75150
US

V. Phone/Fax

Practice location:
  • Phone: 214-369-5992
  • Fax: 214-369-2414
Mailing address:
  • Phone: 972-288-2600
  • Fax: 972-288-8886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberF0404186
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: