Provider Demographics
NPI:1710644836
Name:FERRER, JULIO CESAR SR
Entity Type:Individual
Prefix:
First Name:JULIO
Middle Name:CESAR
Last Name:FERRER
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6804 N CAPITAL OF TEXAS HWY APT 412
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-1768
Mailing Address - Country:US
Mailing Address - Phone:321-666-1344
Mailing Address - Fax:
Practice Address - Street 1:6804 N CAPITAL OF TEXAS HWY APT 412
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-1768
Practice Address - Country:US
Practice Address - Phone:321-666-1344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver