Samuel L Hudson Mdpa

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

F4099 Issued in TX

Legal business name

SAMUEL L HUDSON MDPA

Practice address

120 Flag Lake Dr
Lake Jackson, TX 77566-6292

Phone

(979) 299-6900

Fax

(979) 299-6903

NPI assigned

Jun 5, 2009

Last updated

Jun 5, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Camille Hudson

Title

Manager

Phone

(979) 299-6900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel Lewis Hudson, M.D.

  • Orthopaedic Surgery Physician
  • Lake Jackson, TX
  • NPI 1801897400
  NPD (past)

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244160000000",
    "number": "1609002518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4165",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775662065",
            "telephone_number": "979-299-6900",
            "fax_number": "979-299-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 FLAG LAKE DR",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775666292",
            "telephone_number": "979-299-6900",
            "fax_number": "979-299-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL L HUDSON MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2009-06-05",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "979-299-6900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "F4099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183692601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Nicole Roman, FNP-C
• Cristina Ross, DDS
• Molly Elise Russo, MD
• S & S Foot Specialists, PA
• S Yeager MD PA (Her Care of Lake Jackson)
• Samuel L. Hudson, M.D., P.a.
• Sanjay Aggarwal MD, PA
• Veronica Santamaria, RDN
• Sailaja Devi Saragadam, MD
• Leah R Savoy, RD

• Durable Medical Equipment & Medical Supplies in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; 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.