Provider Demographics
NPI:1811029317
Name:ARROYO, JULIO C (OD)
Entity Type:Individual
Prefix:
First Name:JULIO
Middle Name:C
Last Name:ARROYO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:JULIO
Other - Middle Name:C
Other - Last Name:ARROYO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:25511 BUDDE RD STE 3801
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-4087
Mailing Address - Country:US
Mailing Address - Phone:281-419-3355
Mailing Address - Fax:281-419-3356
Practice Address - Street 1:25511 BUDDE RD STE 3801
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-4087
Practice Address - Country:US
Practice Address - Phone:281-419-3355
Practice Address - Fax:281-419-3356
Is Sole Proprietor?:No
Enumeration Date:2007-03-10
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX05708TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5708TGOtherTEXAS OPTOMETRY LICENSE
TX82047QOtherBCBS OF TEXAS
TXU82079Medicare UPIN
TX8F1571Medicare PIN