Provider Demographics
NPI:1255670071
Name:BREEZE, JULIET S (MD)
Entity Type:Individual
Prefix:
First Name:JULIET
Middle Name:S
Last Name:BREEZE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4690 SWEETWATER BLVD
Mailing Address - Street 2:SUITE 280
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-3467
Mailing Address - Country:US
Mailing Address - Phone:281-207-2661
Mailing Address - Fax:281-207-2682
Practice Address - Street 1:4690 SWEETWATER BLVD
Practice Address - Street 2:SUITE 280
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-3467
Practice Address - Country:US
Practice Address - Phone:281-207-2661
Practice Address - Fax:281-207-2682
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-14
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK1981207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXK1981OtherSTATE LICENSE