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NPI Code Detail

MEDICARE: DANNY SEAN JULIAN MD

MEDICARE: DANNY SEAN JULIAN 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 PhysicianK5574TX

Other Identifiers

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

General Provider Information

NPI Number : 1588645931
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANNY SEAN JULIAN MD
Provider Business Mailing Address
First Line : 9510 CASA GRANDE DR
Second Line :
City : WOODWAY
State : TX
Zip : 76712-6481
Country : US
Telephone Number : 254-723-3915
Fax Number :
Provider Business Practice Location Address
First Line : 2100 LAKE SHORE DR
Second Line :
City : WACO
State : TX
Zip : 76708-1271
Country : US
Telephone Number : 254-755-0088
Fax Number : 254-755-6695
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2005
Last Update Date : 07/09/2007

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Directions to “ DANNY SEAN JULIAN MD” Practice Location

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