Provider Demographics
NPI:1265075048
Name:DUBEY, JULIANA
Entity type:Individual
Prefix:
First Name:JULIANA
Middle Name:
Last Name:DUBEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JULIANA
Other - Middle Name:
Other - Last Name:COSTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:709 STRATFORD LN # 2
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-6133
Mailing Address - Country:US
Mailing Address - Phone:571-730-7180
Mailing Address - Fax:
Practice Address - Street 1:400 E. ROYAL LN
Practice Address - Street 2:BUILDING 3, SUITE 290
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039
Practice Address - Country:US
Practice Address - Phone:469-249-8410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-23
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other