Individual
DR. MELISSA MARIE HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2550 RIVER PARK PLZ STE 110, FORT WORTH, TX 76116-0921
(817) 731-1289
Mailing address
104 ROLLING SPRING DR, ALEDO, TX 76008-4160
(361) 816-8266
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Q4913
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
Q4913
TX
Other
Enumeration date
06/12/2012
Last updated
12/19/2018
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