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1194711515

NPI Code Detail

MEDICARE: JULIA HELENA COSMA M.D.

MEDICARE: JULIA HELENA COSMA 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	207Q00000X	Family Medicine Physician	G150809	CA
2	207Q00000X	Family Medicine Physician	ME74943	FL
3	207Q00000X	Family Medicine Physician	305637	LA
4	207Q00000X	Family Medicine Physician	J8498	TX
5	207R00000X	Internal Medicine Physician	2023026935	MO
6	208M00000X	Hospitalist Physician	J8498	TX
7	208M00000X	Hospitalist Physician	ME74943	FL
8	208M00000X	Hospitalist Physician	2023026935	MO
9	207Q00000X	Family Medicine Physician	M-14067	ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194711515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA HELENA COSMA M.D.

Provider Business Mailing Address
First Line	:	7500 RIALTO BLVD STE 1-140
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78735-8534
Country	:	US
Telephone Number	:	512-730-3056
Fax Number	:	888-730-3056

Provider Business Practice Location Address
First Line	:	7500 RIALTO BLVD STE 1-140
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78735-8534
Country	:	US
Telephone Number	:	512-730-3056
Fax Number	:	888-730-3056

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

Provider Enumeration Date	:	09/21/2005
Last Update Date	:	11/12/2024

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Directions to “ JULIA HELENA COSMA M.D.” Practice Location

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