Individual
DR. COURTNEY BLAIR PARKER-HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 PROVIDENCE DR, WACO, TX 76707-2261
(254) 313-4200
(254) 313-4531
Mailing address
1600 PROVIDENCE DR, WACO, TX 76707-2261
(254) 313-4200
(254) 313-4326
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J4419
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128923302
—
TX
Enumeration date
12/23/2005
Last updated
04/26/2013
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