Provider Demographics
NPI:1609177526
Name:JULIANA B. ALINDADA,MD,PA
Entity Type:Organization
Organization Name:JULIANA B. ALINDADA,MD,PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OB/GYN
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIANA
Authorized Official - Middle Name:B
Authorized Official - Last Name:ALINDADA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:936-598-5160
Mailing Address - Street 1:602 HURST ST STE 3
Mailing Address - Street 2:
Mailing Address - City:CENTER
Mailing Address - State:TX
Mailing Address - Zip Code:75935-3414
Mailing Address - Country:US
Mailing Address - Phone:936-598-5160
Mailing Address - Fax:936-598-5237
Practice Address - Street 1:602 HURST ST STE 3
Practice Address - Street 2:
Practice Address - City:CENTER
Practice Address - State:TX
Practice Address - Zip Code:75935-3414
Practice Address - Country:US
Practice Address - Phone:936-598-5160
Practice Address - Fax:936-598-5237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-09
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG7773207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00JY96Medicare UPIN