Individual
MRS. MISTY JUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CP, LP
Contact information
Practice address
6011 HARRY HINES BLVD., STE #V5.400, DALLAS, TX 75390-9091
(214) 648-1530
Mailing address
6011 HARRY HINES BLVD., STE #V5.400, DALLAS, TX 75390-9091
(214) 648-1530
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
1333
TX
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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