=====================================================
General NPI Number Information
=====================================================
NPI Number | 1962828202
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JULIA HUO HARRIS PA-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/11/2014
-----------------------------------------------------
Last Update Date | 10/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 12717 SHOPS PKWY
-----------------------------------------------------
City | BEE CAVE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78738-6621
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-222-8667
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 612 ROSEBERRY ST
-----------------------------------------------------
City | BUDA
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78610-3247
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-683-1510
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363A00000X
-----------------------------------------------------
Taxonomy Name | Physician Assistant
-----------------------------------------------------
License Number | PA08923
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------