Individual
DR. KEVIN PAUL HUDDLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1713 SW H K DODGEN LOOP, TEMPLE, TX 76502-1836
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
H6302
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86J227
BLUE SHIELD
TX
Enumeration date
03/27/2006
Last updated
01/25/2022
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