Individual
DR. AMANDA WILLRICH HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
300 UNIVERSITY BLVD BLDG A, ROUND ROCK, TX 78665-1032
(512) 509-0200
(512) 509-0253
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1776
TX
213E00000X
Podiatrist
878-025
WI
213ES0103X
Foot & Ankle Surgery Podiatrist
1776
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43236300
—
WI
Enumeration date
06/21/2006
Last updated
01/25/2022
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