MEDICARE: DR. JULIO E ASTACIO M.D.

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
1	174400000X	Specialist	G2309	TX

General Provider Information

NPI Number	:	1063693547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIO E ASTACIO M.D.

Provider Business Mailing Address
First Line	:	9009 N FM 620
Second Line	:	APT 2006
City	:	AUSTIN
State	:	TX
Zip	:	78726-4226
Country	:	US
Telephone Number	:	956-607-6059
Fax Number	:

Provider Business Practice Location Address
First Line	:	1801 S 5TH ST STE 130
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78503-2915
Country	:	US
Telephone Number	:	956-687-7863
Fax Number	:	956-687-6405

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/26/2007
Last Update Date	:	01/02/2016

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