Provider Demographics
NPI:1679306872
Name:JULIE TOLLEMACHE, DO, PLLC
Entity type:Organization
Organization Name:JULIE TOLLEMACHE, DO, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TOLLEMACHE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:512-731-6253
Mailing Address - Street 1:411 E 45TH ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78751-3830
Mailing Address - Country:US
Mailing Address - Phone:512-618-9055
Mailing Address - Fax:512-857-6744
Practice Address - Street 1:411 E 45TH ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78751-3830
Practice Address - Country:US
Practice Address - Phone:512-618-9055
Practice Address - Fax:512-857-6744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-22
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty