Individual
MARK A HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
387 W IH 10, FORT STOCKTON, TX 79735-2700
(432) 336-2004
(432) 336-4545
Mailing address
387 W IH 10, FORT STOCKTON, TX 79735-2700
(432) 336-2004
(432) 336-4545
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
NA 3160
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
617497
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
773755
MEDICARE NUMBER
TX
Enumeration date
06/30/2006
Last updated
06/11/2019
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