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NPI Code Detail

MEDICARE: JULIE C HARDY MD

MEDICARE:   JULIE C HARDY  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianL1603TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
200J40TOTHERTXMEDICARE ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1L1603OTHERTXMEDICAL LICENSE

General Provider Information

NPI Number : 1043226392
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE C HARDY MD
Provider Business Mailing Address
First Line : 1101 W 40TH ST
Second Line :
City : AUSTIN
State : TX
Zip : 78756-3609
Country : US
Telephone Number : 512-459-4147
Fax Number : 512-459-9134
Provider Business Practice Location Address
First Line : 1101 W 40TH ST
Second Line :
City : AUSTIN
State : TX
Zip : 78756-3609
Country : US
Telephone Number : 512-459-4147
Fax Number : 512-459-9134
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 02/06/2014

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Directions to “ JULIE C HARDY MD” Practice Location

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