NPIMap

Organization Active NPI

Hudson Adolescent Medicine, P.a.

  • Specialist
  • West Lake Hills, TX
National Provider Identifier
1740518471
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E2628 Issued in TX
Legal business name
HUDSON ADOLESCENT MEDICINE, P.A.
Practice address
925 Westbank Dr
Suite 100
West Lake Hills, TX 78746-6621
Phone
(512) 610-6919
Fax
(512) 610-6411
NPI assigned
Nov 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Authorized official

Name
Dr. Jerome Hudson, M.D.
Title
Owner, Physician
Phone
(512) 610-6919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X E2628 TX Primary

Addresses

Primary practice location

925 Westbank Dr
Suite 100
West Lake Hills, TX 78746-6621

Mailing address

925 Westbank Dr
Suite 100
West Lake Hills, TX 78746-6621
Phone (512) 610-6919

National Provider Directory

National Provider Directory

Locations

925 Westbank Dr
Ste 100
West Lake Hills, TX 78746
Phone (512) 327-0411

NPI Registry JSON

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258502400000",
    "number": "1740518471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 WESTBANK DR",
            "address_2": "SUITE 100",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466621",
            "telephone_number": "512-610-6919",
            "fax_number": "512-610-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 WESTBANK DR",
            "address_2": "SUITE 100",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466621",
            "telephone_number": "512-610-6919",
            "fax_number": "512-610-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON ADOLESCENT MEDICINE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "OWNER, PHYSICIAN",
        "authorized_official_telephone_number": "512-610-6919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "E2628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.