Provider Demographics
NPI:1821213349
Name:ALLEN, JULIA (DC, DACNB)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:
Last Name:ALLEN
Suffix:
Gender:F
Credentials:DC, DACNB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2803 WILLIAMS DR STE 105
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78628-2733
Mailing Address - Country:US
Mailing Address - Phone:512-863-2225
Mailing Address - Fax:512-863-2233
Practice Address - Street 1:2803 WILLIAMS DR STE 105
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-2733
Practice Address - Country:US
Practice Address - Phone:512-863-2225
Practice Address - Fax:512-863-2233
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6629111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8R8120OtherBCBS
TX8R8120OtherBCBS
TXU60513Medicare UPIN