Individual
DR. MARK F HUTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2415 EXPOSITION BLVD, SUITE D, AUSTIN, TX 78703-2271
(512) 477-2282
(512) 477-2336
Mailing address
604 LAKEWAY DR, LAKEWAY, TX 78734-4430
(512) 261-0855
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02320T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80481Q
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
08/04/2006
Last updated
07/09/2007
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