Samuel L Hudson Mdpa

LBN: Samuel L Hudson Mdpa
Samuel L Hudson Mdpa is an health care organization with primary practice located at 120 Flag Lake Dr , Lake Jackson TX 77566-6292. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Samuel L Hudson Mdpa can be contacted via phone (979) 299-6900, or through Hudson, Camille via phone (979) 299-6900.

Contact Information

Primary practice address
120 Flag Lake Dr Lake Jackson TX 77566-6292
Phone: (979) 299-6900
Fax: (979) 299-6903
Website:
Map and Directions
Authorized official contact:
Name: Hudson, Camille
Phone: (979) 299-6900

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X F4099 Texas

Profile Details

NPI number 1609002518
LBN Legal business name Samuel L Hudson Mdpa
DBA Doing business as
Authorized official Hudson, Camille
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2009
Last updated Jun 5th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609002518 NPPES
Texas MEDICAID 183692601

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