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Individual

DR. ERVIN JACKSON HUDGINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
7214 HIGHWAY 78, STE 5, SACHSE, TX 75048-2532
(972) 429-6379
Mailing address
7214 HIGHWAY 78, STE 5, SACHSE, TX 75048-2532
(972) 429-6379

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9273
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0082216
BLUE LINK
TX
01
8K9184
MEDICARE
TX
01
9365910
PHCS
TX
01
B0082216
BLUECROSSBLUESHIELD
TX
01
P00200813
RAILROAD MEDICARE
TX
Enumeration date
06/10/2005
Last updated
04/04/2013
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