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Organization

RICKY SCOTT HUDSON

Active
Other names
Horizon Ostomy Supply
Organization subpart
No

Provider details

NPI number
Authorized official
JANET HUDSON (MANAGER)
(361) 980-8080
Entity
Organization

Contact information

Practice address
4659 EVERHART RD, SUITE 214, CORPUS CHRISTI, TX 78411-2735
(361) 980-8080
(361) 980-8082
Mailing address
PO BOX 271456, CORPUS CHRISTI, TX 78427-1456
(361) 980-8080
(361) 980-8082

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0077002
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015997202
TX
05
087227702
TX
Enumeration date
12/29/2005
Last updated
05/20/2010
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