Individual
CONNIE K HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6414 FANNIN ST STE G150, HOUSTON, TX 77030-1514
(832) 325-7125
(713) 512-2200
Mailing address
PO BOX 301173, DALLAS, TX 75303-1173
(713) 500-3500
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA00202
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184605701
—
TX
01
—
89BN454
BCBS
TX
Enumeration date
07/11/2006
Last updated
03/29/2022
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