Basic Information
| Provider Information | |||||||||
| NPI: | 1447249636 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | JULIAN | ||||||||
| FirstName: | CARMEN ANTHONY | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5310 HARVEST HILL RD STE 290 | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752305826 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2144200650 | ||||||||
| FaxNumber: | 2147360512 | ||||||||
| Practice Location | |||||||||
| Address1: | 1801 E 51ST ST STE 320 | ||||||||
| Address2: | |||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787233455 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5124783376 | ||||||||
| FaxNumber: | 5124783375 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/19/2005 | ||||||||
| LastUpdateDate: | 01/18/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/18/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207N00000X | M4224 | TX | Y | Allopathic & Osteopathic Physicians | Dermatology | 207P00000X | M4224 | TX | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | 34008228J | OH | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207N00000X | 73012 | GA | N | Allopathic & Osteopathic Physicians | Dermatology |
No ID Information.