Samuel L Hudson Mdpa
NPI #1609002518 in Lake Jackson, Texas
Provider Information
- NPI Number
- 1609002518
- Entity Type
- Organization
- Organization Name
- Samuel L Hudson Mdpa
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jun 5, 2009
- Last Updated
- Jun 5, 2009
Practice Location
- Address
- 120 FLAG LAKE DR
- City
- Lake Jackson
- State
- Texas
- ZIP Code
- 77566-6292
- Phone
- (979) 299-6900
Authorized Official
- Name
- MRS. CAMILLE HUDSON
- Title
- MANAGER
- Phone
- (979) 299-6900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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