Individual
DR. CASSELL HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2855 LONG LAKE DR, SHREVEPORT, LA 71106
(318) 797-4169
(318) 797-4169
Mailing address
PO BOX 52834, SHREVEPORT, LA 71135-2834
(318) 797-4169
(318) 797-4169
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PD149R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1993085
—
LA
01
—
5DP32
GROUP PTAN : 5DP32
LA
Enumeration date
09/06/2005
Last updated
09/03/2010
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