Individual
JULIA KELLY HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2911 MEDICAL ARTS ST STE 2&3, AUSTIN, TX 78705-3376
(512) 391-0175
Mailing address
2600 LAKE AUSTIN BLVD APT 15102, AUSTIN, TX 78703-4482
(314) 620-9214
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
T7936
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2018
Last updated
06/20/2022
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