Organization
HUDSON ADOLESCENT MEDICINE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME HUDSON M.D. (OWNER, PHYSICIAN)
(512) 610-6919
Entity
Organization
Contact information
Practice address
925 WESTBANK DR, SUITE 100, WEST LAKE HILLS, TX 78746-6621
(512) 610-6919
(512) 610-6411
Mailing address
925 WESTBANK DR, SUITE 100, WEST LAKE HILLS, TX 78746-6621
(512) 610-6919
(512) 610-6411
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E2628
TX
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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