Individual
JAMES D HEDGEPETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11481 TOEPPERWEIN RD, SUITE 1201, LIVE OAK, TX 78233
(210) 599-8903
(210) 599-9035
Mailing address
11481 TOEPPERWEIN RD, SUITE 1201, LIVE OAK, TX 78233-3145
(210) 599-8903
(210) 599-9035
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
169110
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062809102
—
TX
Enumeration date
07/04/2006
Last updated
06/12/2024
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