1609160456 NPI number — DR. WILLIAM W JULY PHD

Table of content: DR. WILLIAM W JULY PHD (NPI 1609160456)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609160456 NPI number — DR. WILLIAM W JULY PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JULY
Provider First Name:
WILLIAM
Provider Middle Name:
W
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1609160456
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/12/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
401 CONGRESS AVE
Provider Second Line Business Mailing Address:
SUITE 1540
Provider Business Mailing Address City Name:
AUSTIN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78701-4071
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-687-0131
Provider Business Mailing Address Fax Number:
512-687-3599

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
401 CONGRESS AVE
Provider Second Line Business Practice Location Address:
SUITE 1540
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78701-4071
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-687-0131
Provider Business Practice Location Address Fax Number:
512-687-3599
Provider Enumeration Date:
06/08/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X , with the licence number:  34261 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 103TC0700X , with the licence number: 34261 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2884868-05 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com