Provider Demographics
NPI:1669826863
Name:JULIAN V DEESE, MD, PLLC
Entity Type:Organization
Organization Name:JULIAN V DEESE, MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEESE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-212-3262
Mailing Address - Street 1:3209 4TH ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75605-5171
Mailing Address - Country:US
Mailing Address - Phone:903-212-3262
Mailing Address - Fax:
Practice Address - Street 1:3209 4TH ST
Practice Address - Street 2:SUITE 300
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75605-5171
Practice Address - Country:US
Practice Address - Phone:903-212-3262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-14
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty