Provider Demographics
NPI:1962828202
Name:HARRIS, JULIA HUO (PA-C)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:HUO
Last Name:HARRIS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:YUJIA
Other - Middle Name:
Other - Last Name:HUO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1728 S FM 1626 STE 100
Mailing Address - Street 2:
Mailing Address - City:BUDA
Mailing Address - State:TX
Mailing Address - Zip Code:78610-4042
Mailing Address - Country:US
Mailing Address - Phone:737-275-7701
Mailing Address - Fax:410-701-2400
Practice Address - Street 1:1728 S FM 1626 STE 100
Practice Address - Street 2:
Practice Address - City:BUDA
Practice Address - State:TX
Practice Address - Zip Code:78610-4042
Practice Address - Country:US
Practice Address - Phone:737-275-7701
Practice Address - Fax:512-268-2190
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-11
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA08932363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant