Individual
JULIE M. RATHBUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5016 FM 1518, SELMA, TX 78154
(210) 654-9300
(210) 654-9302
Mailing address
PO BOX 181, SCHERTZ, TX 78154
(210) 654-9300
(210) 654-9302
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
5601003653
MI
363AM0700X
Medical Physician Assistant
Primary
5601003653
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601003653
LICENSE
MI
01
—
PA08688
STATE LICENCE
TX
Enumeration date
08/30/2006
Last updated
09/26/2014
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