Healthcare Provider Details

I. General information

NPI: 1063841252
Provider Name (Legal Business Name): JULIE HORSTING M.R., M.S., LCGC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2013
Last Update Date: 10/15/2024
Certification Date: 10/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8300 FLOYD CURL DR
SAN ANTONIO TX
78229-3931
US

IV. Provider business mailing address

8300 FLOYD CURL DR
SAN ANTONIO TX
78229-3931
US

V. Phone/Fax

Practice location:
  • Phone: 757-871-2930
  • Fax:
Mailing address:
  • Phone: 757-871-2930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number74000065A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: