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Julie Baker Anderson
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NPI Number Detailed Information
Provider Information:
| Name: | Julie Baker Anderson |
| Gender: | F |
| Provider License Number If Given: | 9138TG |
NPI Information:
| NPI: | 1609875988 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 7/19/2005 |
| Last Update Date: | 8/12/2019 |
Provider Business Mailing Address:
| Address: | 321 HAWK AVE Mcallen, TX 78504 |
| Phone Number: | 8165248900 |
| Fax Number: | 8165252042 |
Provider Business Practice Location Address:
| Address: | 3804 SO. JACKSON ROAD, STE. #4 Edinburg, TX 78539 |
| Phone Number: | 9562963060 |
| Fax Number: | 9562963061 |
Provider Taxonomy:
| Primary: | 152W00000X |
| Secondary (if any): | |
| State: | TX |
