=====================================================
General NPI Number Information
=====================================================
NPI Number | 1659552297
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JULIA B SYMON MD
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/26/2007
-----------------------------------------------------
Last Update Date | 11/26/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1601 REDWOOD RD STE C
-----------------------------------------------------
City | SAN MARCOS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78666-1423
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-754-8500
-----------------------------------------------------
Fax | 512-754-8565
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1601 REDWOOD RD STE C
-----------------------------------------------------
City | SAN MARCOS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78666-1423
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-754-8500
-----------------------------------------------------
Fax | 512-754-8565
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PRES
-----------------------------------------------------
Name | DR. JULIA B SYMON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 512-754-8500
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | G0181
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------