Provider Demographics
NPI:1225686918
Name:HALL, JULIANNE (PA-C)
Entity type:Individual
Prefix:
First Name:JULIANNE
Middle Name:
Last Name:HALL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:JULIANNE
Other - Middle Name:
Other - Last Name:EPISCOPO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:7400 FANNIN ST STE 700
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-1947
Mailing Address - Country:US
Mailing Address - Phone:713-796-1600
Mailing Address - Fax:
Practice Address - Street 1:7400 FANNIN ST STE 700
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1947
Practice Address - Country:US
Practice Address - Phone:713-796-1600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-27
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024299363A00000X
VA0110007316363A00000X
TXPA14632363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant