Provider Demographics
NPI:1659510196
Name:ADROGUE, JULIA VLADIMIROVNA (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:VLADIMIROVNA
Last Name:ADROGUE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:16605 SOUTHWEST FWY
Mailing Address - Street 2:MOB 3, SUITE 625
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2345
Mailing Address - Country:US
Mailing Address - Phone:713-776-9500
Mailing Address - Fax:713-400-7220
Practice Address - Street 1:16605 SOUTHWEST FWY
Practice Address - Street 2:MOB 3, SUITE 625
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479
Practice Address - Country:US
Practice Address - Phone:713-776-9500
Practice Address - Fax:713-400-7220
Is Sole Proprietor?:No
Enumeration Date:2009-02-06
Last Update Date:2019-01-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM0336207RC0000X, 207RI0200X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX220693007Medicaid
TX8GD749OtherBCBS
TX220693006Medicaid