Provider Demographics
NPI:1528082393
Name:JULIAN, ROBERT D (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:D
Last Name:JULIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2900 SAINT MICHAEL DR STE 401
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-5211
Mailing Address - Country:US
Mailing Address - Phone:903-614-5353
Mailing Address - Fax:903-614-5343
Practice Address - Street 1:1659 HIGHWAY 46 W STE 160
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78132
Practice Address - Country:US
Practice Address - Phone:830-387-4991
Practice Address - Fax:831-387-5004
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH0507207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX84V312OtherBCBS
TX1186100001OtherPALMETTO DMERC
TXH0507OtherUNICARE
TX116309100OtherFIRST CARE
TX1186100001OtherDMERC CIGNA
TX140013712Medicaid
TXH0507OtherWORKERS COMP
TX116309100OtherSOUTHWEST LIFE & HEALTH
TX80062157OtherRAILROAD MEDICARE
TXH0507OtherUNICARE
TX84V312Medicare PIN