Provider Demographics
NPI:1457016594
Name:GIEB, JULIE (RT (R)(MR)(CT))
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:
Last Name:GIEB
Suffix:
Gender:F
Credentials:RT (R)(MR)(CT)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1306 EAGLES NEST TRL
Mailing Address - Street 2:
Mailing Address - City:KRUM
Mailing Address - State:TX
Mailing Address - Zip Code:76249-7525
Mailing Address - Country:US
Mailing Address - Phone:940-768-8969
Mailing Address - Fax:
Practice Address - Street 1:1820 PRESTON PARK BLVD
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-3656
Practice Address - Country:US
Practice Address - Phone:972-867-7862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-03
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX483886247100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist