Provider Demographics
NPI:1407211667
Name:HUDNALL, JULIANNA
Entity Type:Individual
Prefix:
First Name:JULIANNA
Middle Name:
Last Name:HUDNALL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 HARRY HINES BLVD
Mailing Address - Street 2:NB 10.204
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-5303
Mailing Address - Country:US
Mailing Address - Phone:214-648-5964
Mailing Address - Fax:
Practice Address - Street 1:6000 HARRY HINES BLVD
Practice Address - Street 2:NB 10.204
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-5303
Practice Address - Country:US
Practice Address - Phone:214-648-5964
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-15
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QG0250XAmbulatory Health Care FacilitiesClinic/CenterGenetics