Provider Demographics
NPI:1023180429
Name:DEBROECK, JULIUS ANTHONY JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIUS
Middle Name:ANTHONY
Last Name:DEBROECK
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:21212 NORTHWEST FWY
Mailing Address - Street 2:#225
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-5884
Mailing Address - Country:US
Mailing Address - Phone:281-469-8414
Mailing Address - Fax:281-469-6213
Practice Address - Street 1:21212 NORTHWEST FWY
Practice Address - Street 2:#225
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-5884
Practice Address - Country:US
Practice Address - Phone:281-469-8414
Practice Address - Fax:281-469-6213
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2009-09-15
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Provider Licenses
StateLicense IDTaxonomies
TXF9356207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00H557OtherBCBS
TX115039303Medicaid
TX115039303Medicaid
00H557Medicare ID - Type Unspecified