Healthcare Provider Details

I. General information

NPI: 1528082393
Provider Name (Legal Business Name): ROBERT D JULIAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 11/19/2021
Certification Date: 11/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1659 HIGHWAY 46 W STE 160
NEW BRAUNFELS TX
78132
US

IV. Provider business mailing address

2900 SAINT MICHAEL DR STE 401
TEXARKANA TX
75503-5211
US

V. Phone/Fax

Practice location:
  • Phone: 830-387-4991
  • Fax: 831-387-5004
Mailing address:
  • Phone: 903-614-5353
  • Fax: 903-614-5343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberH0507
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: