Individual
EUSTACIA O HUDSON-WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2548 MEMORIAL BLVD, PORT ARTHUR, TX 77640-2825
(409) 983-1161
Mailing address
2548 MEMORIAL BLVD, PORT ARTHUR, TX 77640-2825
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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