Provider Demographics
NPI:1700842986
Name:JULKA, MANJULA (MD)
Entity Type:Individual
Prefix:DR
First Name:MANJULA
Middle Name:
Last Name:JULKA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1175 DIANE CIR
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-4397
Mailing Address - Country:US
Mailing Address - Phone:972-436-7531
Mailing Address - Fax:972-436-6114
Practice Address - Street 1:1175 DIANE CIR
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-4397
Practice Address - Country:US
Practice Address - Phone:972-436-7531
Practice Address - Fax:972-436-6114
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9756207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine