Provider Demographics
NPI:1619016813
Name:SHULMAN, JULIA ELIZABETH (PA-C)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:ELIZABETH
Last Name:SHULMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11804 EMERALD FALLS DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78738-5476
Mailing Address - Country:US
Mailing Address - Phone:432-557-6616
Mailing Address - Fax:
Practice Address - Street 1:11804 EMERALD FALLS DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78738-5476
Practice Address - Country:US
Practice Address - Phone:432-557-6616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA05102363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant