Provider Demographics
NPI:1467783878
Name:TEAT, JULIE CAROL (CRT)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:CAROL
Last Name:TEAT
Suffix:
Gender:F
Credentials:CRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 WOODLAWN ST
Mailing Address - Street 2:
Mailing Address - City:SINTON
Mailing Address - State:TX
Mailing Address - Zip Code:78387-3230
Mailing Address - Country:US
Mailing Address - Phone:361-877-5686
Mailing Address - Fax:
Practice Address - Street 1:324 WOODLAWN ST
Practice Address - Street 2:
Practice Address - City:SINTON
Practice Address - State:TX
Practice Address - Zip Code:78387-3230
Practice Address - Country:US
Practice Address - Phone:361-877-5686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-25
Last Update Date:2010-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX670252278E1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278E1000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedEducational