Individual
MR. JUSTIN T JUELICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6445 MAIN ST STE 2500, HOUSTON, TX 77030-1502
(713) 441-9000
(713) 790-7500
Mailing address
6445 MAIN ST STE 2500, HOUSTON, TX 77030-1502
(713) 441-9000
(713) 790-7500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1417
AL
363A00000X
Physician Assistant
PA14854
TX
363AS0400X
Surgical Physician Assistant
Primary
PA14854
TX
363AS0400X
Surgical Physician Assistant
PA9111679
FL
Other
Enumeration date
03/12/2019
Last updated
12/27/2023
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