Provider Demographics
NPI:1124053863
Name:HUNG, JULIE L (MD)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:L
Last Name:HUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16537 SOUTHWEST FWY STE 600
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-7245
Mailing Address - Country:US
Mailing Address - Phone:281-275-0800
Mailing Address - Fax:281-275-0801
Practice Address - Street 1:16537 SOUTHWEST FWY STE 600
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-7245
Practice Address - Country:US
Practice Address - Phone:281-275-0800
Practice Address - Fax:281-275-0801
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0496207R00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8W4751OtherBLUE CROSS BLUE SHIELD
TX044499405Medicaid
TX8W4751OtherBLUE CROSS BLUE SHIELD
TX85Y039Medicare PIN