Provider Demographics
NPI:1174771224
Name:JULIAN, BRIAN TODD (PT)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:TODD
Last Name:JULIAN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9793 CULEBRA RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-3749
Mailing Address - Country:US
Mailing Address - Phone:210-520-1723
Mailing Address - Fax:210-520-1724
Practice Address - Street 1:9793 CULEBRA RD
Practice Address - Street 2:SUITE 101
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-3749
Practice Address - Country:US
Practice Address - Phone:210-520-1723
Practice Address - Fax:210-520-1724
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1183345225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist