Provider Demographics
NPI:1679043277
Name:MCLAUGHLIN, JULIE T
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:T
Last Name:MCLAUGHLIN
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 1:11918 SANDBAR HL
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-2896
Mailing Address - Country:US
Mailing Address - Phone:305-495-2916
Mailing Address - Fax:
Practice Address - Street 1:11918 SANDBAR HL
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-2896
Practice Address - Country:US
Practice Address - Phone:305-495-2916
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-27
Last Update Date:2018-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered