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NPI Code Detail

MEDICARE: MATHEAU ANTOINE JULIEN MD

MEDICARE:   MATHEAU ANTOINE JULIEN  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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician0101274262VA
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician036139510IL
3208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician4301517340MI
4208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianU9422TX
5208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician17695ND

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1036139510OTHERILILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION

General Provider Information

NPI Number : 1619189933
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATHEAU ANTOINE JULIEN MD
Provider Business Mailing Address
First Line : PO BOX 844658
Second Line :
City : DALLAS
State : TX
Zip : 75284-4658
Country : US
Telephone Number : 254-724-2111
Fax Number :
Provider Business Practice Location Address
First Line : 300 UNIVERSITY BLVD
Second Line :
City : ROUND ROCK
State : TX
Zip : 78665-1032
Country : US
Telephone Number : 515-509-0100
Fax Number : 512-218-6330
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2007
Last Update Date : 05/19/2026

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Directions to “ MATHEAU ANTOINE JULIEN MD” Practice Location

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