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Individual

LOUIS LUDLAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
600 N UNION AVE, NEW BRAUNFELS, TX 78130-4194
(830) 606-9111
Mailing address
106 RAINBOW DR # 602, LIVINGSTON, TX 77399-1006
(956) 330-0404

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
433790
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
122780
SUPERIOR
TX
05
130120209
TX
05
130120211
TX
01
8933UC
TX BCBS
TX
Enumeration date
08/13/2006
Last updated
10/30/2013
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