Organization
MARC L KUDISCH MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC L KUDISCH MD (PRESIDENT)
(713) 777-9995
Entity
Organization
Contact information
Practice address
6699 CHIMNEY ROCK RD, SUITE 103, HOUSTON, TX 77081-5358
(713) 777-9995
(713) 777-0100
Mailing address
6699 CHIMNEY ROCK RD, SUITE 103, HOUSTON, TX 77081-5358
(713) 777-9995
(713) 777-0100
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
J1289
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131866903
—
TX
Enumeration date
12/22/2010
Last updated
04/03/2011
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