MEDICARE: JULIO C. TERAN, M.D.,P.A.

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	207RC0000X	Cardiovascular Disease Physician	G6633	TX

General Provider Information

NPI Number	:	1891893160
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JULIO C. TERAN, M.D.,P.A.

Provider Business Mailing Address
First Line	:	7333 NORTH FWY
Second Line	:	STE 101
City	:	HOUSTON
State	:	TX
Zip	:	77076-1300
Country	:	US
Telephone Number	:	936-628-2354
Fax Number	:	936-628-1369

Provider Business Practice Location Address
First Line	:	7333 NORTH FWY
Second Line	:	STE 101
City	:	HOUSTON
State	:	TX
Zip	:	77076-1300
Country	:	US
Telephone Number	:	936-628-2354
Fax Number	:	936-628-1369

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JULIO C TERAN
Credential	:	M.D.
Telephone Number	:	936-628-2354

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	08/22/2020

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