Individual
BILL WYATT HUDGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
505 W NORTHSIDE DR, FORT WORTH, TX 76106-9164
(817) 626-8795
(817) 626-8045
Mailing address
505 W NORTHSIDE DR, FORT WORTH, TX 76106-9164
(817) 626-8795
(817) 626-8045
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4006
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
601403
BLUECROSSBLUESHIELD PIN
—
Enumeration date
02/28/2007
Last updated
07/08/2007
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