Provider Demographics
NPI:1659552297
Name:JULIA B SYMON MD
Entity Type:Organization
Organization Name:JULIA B SYMON MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:B
Authorized Official - Last Name:SYMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-754-8500
Mailing Address - Street 1:1601 REDWOOD RD STE C
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-1423
Mailing Address - Country:US
Mailing Address - Phone:512-754-8500
Mailing Address - Fax:512-754-8565
Practice Address - Street 1:1601 REDWOOD RD STE C
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-1423
Practice Address - Country:US
Practice Address - Phone:512-754-8500
Practice Address - Fax:512-754-8565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-26
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG0181207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00H07SOtherBCBS
TX00H07SOtherBCBS
TX00126UMedicare PIN