Provider Demographics
NPI:1942790068
Name:ZENTENO-MONTEZ, JULIA JEANNETTE
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:JEANNETTE
Last Name:ZENTENO-MONTEZ
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 1:200 PHILOMENA DR APT 4104
Mailing Address - Street 2:
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-2178
Mailing Address - Country:US
Mailing Address - Phone:830-556-9392
Mailing Address - Fax:
Practice Address - Street 1:7901 METROPOLIS DR # 11A-2
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78744-3111
Practice Address - Country:US
Practice Address - Phone:512-823-4010
Practice Address - Fax:512-823-4159
Is Sole Proprietor?:No
Enumeration Date:2018-05-14
Last Update Date:2018-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37408103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical