Provider Demographics
NPI:1700982469
Name:PAFF, JULIE A (RD, LD)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:A
Last Name:PAFF
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1709 NELSON RANCH LOOP
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-4027
Mailing Address - Country:US
Mailing Address - Phone:512-986-6030
Mailing Address - Fax:
Practice Address - Street 1:5555 NORTH LAMAR BLVD BLDG D SUITE 125
Practice Address - Street 2:SETON FAMILY OF HOSPITALS
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78751
Practice Address - Country:US
Practice Address - Phone:512-324-1891
Practice Address - Fax:512-324-1396
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT80458133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI0006 20090Medicare ID - Type Unspecified