Individual
DR. JONATHAN JULIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4210 BENNER, KYLE, TX 78640-2230
(512) 955-5289
Mailing address
240 GOLDEN LAKE LOOP, SAINT AUGUSTINE, FL 32084-5855
(860) 620-7659
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
S1834
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
S1834
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2016
Last updated
05/20/2024
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