Individual
JULIE TRIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3851 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4501
(210) 916-2460
Mailing address
7827 GARDEN NORTH DR, GARDEN RIDGE, TX 78266-2721
(210) 445-7976
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
TX
Other
Enumeration date
10/18/2011
Last updated
01/25/2012
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