Individual
JULIA JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2721 TREASURE COVE DR, LEWISVILLE, TX 75056-4303
(972) 762-7645
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/12/2023
Last updated
04/25/2024
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