Individual
MRS. JULIA K HOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12200 WARWICK BLVD STE 310, NEWPORT NEWS, VA 23601-2344
(757) 534-9988
(757) 534-5688
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005217
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10163852P
OPTIMA HEALTH
VA
01
—
1962860189
HUMANA
VA
05
—
1962860189
—
VA
01
—
566843
BLUE CROSS BLUE SHIELD MEDICARE SUPPLEMENT
VA
Enumeration date
02/02/2016
Last updated
12/20/2019
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