Individual
MARY BRANDT HUDELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3051 CHURCHILL DR, STE 130, FLOWER MOUND, TX 75022-2710
(972) 539-0086
(972) 355-9680
Mailing address
3051 CHURCHILL DR STE 130, FLOWER MOUND, TX 75022-2710
(972) 539-0086
(972) 355-9680
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
H4184
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030003804
RAILROAD MEDICARE
TX
01
—
82391S
BC/BS
TX
01
—
AETNA
4378428
TX
Enumeration date
04/27/2006
Last updated
01/08/2026
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