| NPI | 1245445568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY ANN ST. JULIEN Family Practice 409-985-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 465574) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2015-09-02 |