| Doctor Name: | MR. JULIAN URQUIOLA |
| NPI Number: | 1164847182 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CFTS |
| License Number: | CFTS1623 |
| Business Practice Address: | 3835 Viscount Ave Suite 1 Memphis, TN - 381186052 |
| Business Phone Number: | 9013651100 |
| Business Fax Number: | 9013652255 |
| Mailing Address: | 3835 Viscount Ave, Suite 1 MEMPHIS |
| State: | TN |
| Postal Code: | 381186052 |
| Phone Number: | 9013651100 |
| Fax Number: | 9013652255 |
| NPI Enumeration Date: | 02/27/2014 |
| NPI Last Update Date: | 02/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | CFTS1623 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |