Provider Demographics
NPI:1326039280
Name:DANZIGER, JULIUS (MD)
Entity Type:Individual
Prefix:
First Name:JULIUS
Middle Name:
Last Name:DANZIGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 N POST OAK LN APT 804
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-7711
Mailing Address - Country:US
Mailing Address - Phone:281-723-8278
Mailing Address - Fax:
Practice Address - Street 1:121 N POST OAK LN APT 804
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-7711
Practice Address - Country:US
Practice Address - Phone:281-723-8278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-31
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE95952085R0202X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX131568107Medicaid
300117646OtherMEDICARE RAILROAD
TX047435501Medicaid
TX047435501Medicaid