Provider Demographics
NPI:1306287370
Name:FAHED, JULIEN (MD)
Entity type:Individual
Prefix:
First Name:JULIEN
Middle Name:
Last Name:FAHED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10837 KATY FWY STE 175
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-2211
Mailing Address - Country:US
Mailing Address - Phone:713-932-9200
Mailing Address - Fax:713-932-6152
Practice Address - Street 1:10837 KATY FWY STE 175
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-2211
Practice Address - Country:US
Practice Address - Phone:713-932-9200
Practice Address - Fax:713-932-6152
Is Sole Proprietor?:No
Enumeration Date:2013-07-08
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA255971207R00000X
WI65304-20207RG0100X
TXU4800207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine