Individual
DANNY SEAN JULIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 LAKE SHORE DR, WACO, TX 76708-1271
(254) 755-0088
(254) 755-6695
Mailing address
9510 CASA GRANDE DR, WOODWAY, TX 76712-6481
(254) 723-3915
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K5574
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116307304
—
TX
05
—
152262501
—
TX
Enumeration date
11/10/2005
Last updated
07/09/2007
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