Provider Demographics
NPI:1982092771
Name:JAHOS, JULYA (AADP)
Entity type:Individual
Prefix:
First Name:JULYA
Middle Name:
Last Name:JAHOS
Suffix:
Gender:F
Credentials:AADP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 N 1ST ST
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77301-2920
Mailing Address - Country:US
Mailing Address - Phone:936-757-2415
Mailing Address - Fax:
Practice Address - Street 1:20451 OLD HIGHWAY 105
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TX
Practice Address - Zip Code:77328-6421
Practice Address - Country:US
Practice Address - Phone:936-672-2849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-31
Last Update Date:2014-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX160322146N00000X
NY122733302364SH1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SH1100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistHolistic
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic