Individual
JONATHAN HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
630 S FLEISHEL AVE, TYLER, TX 75701-2041
(903) 606-5560
Mailing address
630 S FLEISHEL AVE, TYLER, TX 75701-2041
(903) 606-5560
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
—
—
246ZC0007X
Surgical Assistant
Primary
208501
TX
Other
Enumeration date
03/18/2022
Last updated
05/12/2022
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