Provider Demographics
NPI:1699752576
Name:SARGENT, JULIA BETH (MD)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:BETH
Last Name:SARGENT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5717 BALCONES DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4203
Mailing Address - Country:US
Mailing Address - Phone:512-327-7000
Mailing Address - Fax:512-314-1660
Practice Address - Street 1:5717 BALCONES DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731
Practice Address - Country:US
Practice Address - Phone:512-327-7000
Practice Address - Fax:512-314-1660
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG5573207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX130286104Medicaid
TX130286101Medicaid
TX89M672Medicare PIN
32787-017OtherDAVIS VISION
C21567Medicare UPIN
TX89M672OtherBLUE CROSS BLUE SHIELD
TX2321567OtherBLUELINK
VP12821OtherGE WELLNESS
SC180026923Medicare PIN
TX911541OtherBLOCK VISION
32951-004OtherDAVIS VISION
TX4049828OtherAETNA
143602100OtherFIRST CARE
OP0793OtherEYEMED
31667-004OtherDAVIS VISION
TX10011905OtherAMERIGROUP
55343-001OtherDAVIS VISION
SC180013118Medicare PIN
TX88Y381Medicare PIN