NPIMap

Organization Active NPI

Samuel L. Hudson, M.D., P.a.

  • Orthopaedic Surgery Physician
  • Lake Jackson, TX
National Provider Identifier
1447294756
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
F4099 Issued in TX
Legal business name
SAMUEL L. HUDSON, M.D., P.A.
Practice address
120 Flag Lake Dr
Suite 1
Lake Jackson, TX 77566-6201
Phone
(979) 299-6900
NPI assigned
Jun 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Samuel L Hudson, M.D.NPI 1801897400
Title
President
Phone
(979) 299-6900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X F4099 TX Primary

Addresses

Primary practice location

120 Flag Lake Dr
Suite 1
Lake Jackson, TX 77566-6201

Mailing address

120 Flag Lake Dr
Suite 1
Lake Jackson, TX 77566-6201

National Provider Directory

National Provider Directory

Locations

120 Flag Lake Dr
Ste 1
Lake Jackson, TX 77566
Phone (979) 299-6900

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1447294756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 FLAG LAKE DR",
            "address_2": "SUITE 1",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775666201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 FLAG LAKE DR",
            "address_2": "SUITE 1",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775666201",
            "telephone_number": "979-299-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL L. HUDSON, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-299-6900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "F4099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.