Individual
JULIA MARIE LEROUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-1707
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1034420
TX
363LA2200X
Adult Health Nurse Practitioner
308280
NY
363LA2200X
Adult Health Nurse Practitioner
95004499
CA
Other
Enumeration date
07/11/2016
Last updated
04/30/2024
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