Physician Compare National (NPI:1659639458)

HEALTHCARE PROVIDER: JULIA CURTIS KOHLHAAS M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1659639458
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9830453356
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180510000222
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KOHLHAAS
	Individual professional last name
Provider First Name	JULIA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
	Individual professional's medical school
Graduation Year	2012
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ROBERT MARRIOTT MEDICAL CORP
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2567531494
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	31
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2416 NW 18TH ST RIVER OAKS HEALTH AND REHABILITAT
	Group Practice or individual's line 1 address
Line 2 Street Address	ADVANTAGE WOUND CARE
	Group Practice or individual's line 2 address
City	FORT WORTH
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	761066604
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8179533752
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y