Provider Demographics
NPI:1891176814
Name:CARROZ, JULIANNA HUDSON (PT, DPT)
Entity Type:Individual
Prefix:
First Name:JULIANNA
Middle Name:HUDSON
Last Name:CARROZ
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12411 SHADOWVISTA DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-7308
Mailing Address - Country:US
Mailing Address - Phone:573-660-1685
Mailing Address - Fax:
Practice Address - Street 1:5425 STATE HIGHWAY 6
Practice Address - Street 2:SUITE D900
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459
Practice Address - Country:US
Practice Address - Phone:573-660-1685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-16
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12594132251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic