Provider Demographics
NPI:1710741509
Name:MARKS, JULIA
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:MARKS
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 1:15010 BENFER RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-2014
Mailing Address - Country:US
Mailing Address - Phone:832-276-4941
Mailing Address - Fax:
Practice Address - Street 1:15010 BENFER RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-2014
Practice Address - Country:US
Practice Address - Phone:832-276-4941
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education