Healthcare Provider Details

I. General information

NPI: 1477821817
Provider Name (Legal Business Name): JULIE EAPEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2011
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6410 FANNIN ST STE 510
HOUSTON TX
77030-3005
US

IV. Provider business mailing address

6410 FANNIN ST STE 510
HOUSTON TX
77030-3005
US

V. Phone/Fax

Practice location:
  • Phone: 832-325-7746
  • Fax: 713-512-7195
Mailing address:
  • Phone: 832-325-7746
  • Fax: 713-512-7195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberR7987
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: