Individual
JULIA R. DE WETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1807 W SLAUGHTER LN, #490, AUSTIN, TX 78748-6208
(512) 282-8967
(512) 292-5141
Mailing address
PO BOX 26726, AUSTIN, TX 78755-0726
(512) 407-8686
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
F6573
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105847101
—
TX
05
—
105847103
—
TX
05
—
105847104
—
TX
05
—
105847105
—
TX
Enumeration date
07/29/2006
Last updated
10/25/2011
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