Organization
JENNIFER HUDMAN, M.D., P.A.
Active
Other names
Azle Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HUDMAN M.D. (PHYSICIAN/OWNER)
(817) 270-2320
Entity
Organization
Contact information
Practice address
604 SOUTHEAST PKWY, AZLE, TX 76020-3453
(817) 270-2320
(817) 270-2450
Mailing address
604 SOUTHEAST PKWY, AZLE, TX 76020-3453
(817) 270-2320
(817) 270-2450
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M0759
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175887201
—
TX
05
—
175887202
—
TX
Enumeration date
09/21/2011
Last updated
09/21/2011
Update your record
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