Provider Demographics
NPI:1902901796
Name:OH, JULIA L (MD)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:L
Last Name:OH
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 1:15500 SOUTHWEST FWY
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3829
Mailing Address - Country:US
Mailing Address - Phone:281-274-8200
Mailing Address - Fax:281-584-7436
Practice Address - Street 1:15500 SOUTHWEST FWY
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3829
Practice Address - Country:US
Practice Address - Phone:281-274-8200
Practice Address - Fax:281-584-7436
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM19912085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX168320301Medicaid
8C6937Medicare ID - Type Unspecified
I19767Medicare UPIN