Individual
JULIA F COUTOUMANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
731 MARTIN RD, HURST, TX 76054-2703
(817) 514-0346
(817) 514-0885
Mailing address
PO BOX 99371, FORT WORTH, TX 76199-0371
(682) 885-1855
(682) 885-7437
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J6391
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U87Z
BCBSTX GRP PIN
TX
05
—
045261702
—
TX
01
—
045261703
CSHCN
TX
01
—
1392456
UHC PIN
TX
01
—
1640352
FIRSTHEALTH PIN
TX
01
—
1750369203
GRP NPI NUMBER
—
01
—
398692
PHCS PIN
TX
01
—
4048150
CIGNA PNI
TX
01
—
4543046
AETNA PIN
TX
01
—
86W435
BCBSTX IND PIN
TX
01
—
COUJG30286
CCHIP PIN
TX
Enumeration date
10/10/2006
Last updated
04/03/2012
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