Individual
JULIAN XAVIER CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.S.T.
Contact information
Practice address
923 PENNSYLVANIA AVE, SUITE 100, FORT WORTH, TX 76104
(817) 920-0484
(817) 920-0068
Mailing address
P. O. BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 378-3699
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
NBSTSA # 050195
—
Other
Enumeration date
08/17/2007
Last updated
12/28/2007
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