Provider Demographics
NPI:1346564903
Name:BAILEY, JULIA GARZA (MD)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:GARZA
Last Name:BAILEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:DIANA
Other - Last Name:GARZA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:13620 NW MILITARY HWY
Mailing Address - Street 2:BUILDING 3, OFFICE 2
Mailing Address - City:SHAVANO PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78231-1875
Mailing Address - Country:US
Mailing Address - Phone:210-587-7935
Mailing Address - Fax:210-587-7935
Practice Address - Street 1:13620 NW MILITARY HWY
Practice Address - Street 2:BUILDING 3, OFFICE 2
Practice Address - City:SHAVANO PARK
Practice Address - State:TX
Practice Address - Zip Code:78231-1875
Practice Address - Country:US
Practice Address - Phone:210-587-7935
Practice Address - Fax:210-587-7935
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-25
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL67722084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry