Provider Demographics
NPI:1497045629
Name:TRIPPLE, JULIA WOODARD (MD)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:WOODARD
Last Name:TRIPPLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 UNIVERSITY BLVD
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77555-0550
Mailing Address - Country:US
Mailing Address - Phone:409-772-3410
Mailing Address - Fax:409-772-2035
Practice Address - Street 1:301 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555-0550
Practice Address - Country:US
Practice Address - Phone:409-772-3410
Practice Address - Fax:409-772-2035
Is Sole Proprietor?:No
Enumeration Date:2011-04-08
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ7293207RA0201X, 207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program