Organization
KENNETH B. HUDSPETH M.D.
Active
Other names
Wimberley Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH HUDSPETH M.D. (PRESIDENT)
(512) 847-6789
Entity
Organization
Contact information
Practice address
12941 RANCH ROAD 12, WIMBERLEY, TX 78676-5218
(512) 847-6789
(512) 847-7968
Mailing address
12941 RANCH ROAD 12, P.O. BOX 2070, WIMBERLEY, TX 78676-5218
(512) 847-6789
(512) 847-7968
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
D9503
TX
Other
Enumeration date
01/20/2007
Last updated
01/09/2008
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