Provider Demographics
NPI:1679042014
Name:KAHIU, JULIET
Entity Type:Individual
Prefix:
First Name:JULIET
Middle Name:
Last Name:KAHIU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17003 HIDDEN TREASURE CIR
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-3461
Mailing Address - Country:US
Mailing Address - Phone:404-729-4854
Mailing Address - Fax:
Practice Address - Street 1:6417 MEMORIAL DR STE B
Practice Address - Street 2:
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77591-4058
Practice Address - Country:US
Practice Address - Phone:409-935-9800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-14
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP137964363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily