Provider Demographics
NPI:1619977782
Name:YELIN, JULIE BETH (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:BETH
Last Name:YELIN
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 1:1095 EVERGREEN CIR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3645
Mailing Address - Country:US
Mailing Address - Phone:832-380-9800
Mailing Address - Fax:
Practice Address - Street 1:1095 EVERGREEN CIR
Practice Address - Street 2:SUITE 200
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3645
Practice Address - Country:US
Practice Address - Phone:832-380-9800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-29
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK67472083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8460B1Medicare ID - Type UnspecifiedMEDICARE