Individual
ERIC JOHN CHUDEJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
851 N LOOP 340, WACO, TX 76705-2592
(254) 202-7500
Mailing address
PO BOX 848476, DALLAS, TX 75284-8476
(800) 994-0371
(254) 215-9722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N7530
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB115929
MEDICARE
TX
Enumeration date
09/24/2010
Last updated
09/13/2024
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