Individual
LAURITA OLD HUDEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP APRN WHNP-BC
Contact information
Practice address
3351 ROGER BROOKE DRIVE, JBSA FORT SAM HOUSTON, TX 78234-4504
(210) 916-4141
Mailing address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP114128
TX
Other
Enumeration date
05/03/2007
Last updated
04/09/2024
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