Individual
MARC L KUDISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3030 S GESSNER RD STE 120, HOUSTON, TX 77063-3770
(713) 777-9995
(713) 777-0100
Mailing address
3030 S GESSNER RD STE 120, HOUSTON, TX 77063-3770
(713) 777-9995
(713) 777-0100
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
DR.0065485
CO
207RG0100X
Gastroenterology Physician
J1289
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131866903
—
TX
Enumeration date
08/09/2005
Last updated
01/20/2021
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