Individual
JULIE BAKER ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3804 SO. JACKSON ROAD, STE. #4, EDINBURG, TX 78539
(956) 296-3060
(956) 296-3061
Mailing address
321 HAWK AVE, MCALLEN, TX 78504-2281
(816) 524-8900
(816) 525-2042
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9138TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
379853001
MEDICAID
TX
01
—
H08JD72401
BCBS
TX
Enumeration date
07/19/2005
Last updated
08/12/2019
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