Samuel Lewis Hudson, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

F4099 Issued in TX

Practice address

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

Phone

(979) 299-6900

Fax

(979) 299-6903

NPI assigned

Aug 3, 2005

Last updated

Aug 8, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Samuel L. Hudson, M.D., P.a.

  • Orthopaedic Surgery Physician
  • Lake Jackson, TX
  • NPI 1447294756
  NPD (past) Authorized official
• Samuel L Hudson Mdpa

  • Durable Medical Equipment & Medical Supplies
  • Lake Jackson, TX
  • NPI 1609002518
  NPD (past)

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1801897400",
    "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",
            "address_2": "SUITE 1",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775666201",
            "telephone_number": "979-299-6900",
            "fax_number": "979-299-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "SAMUEL",
        "middle_name": "LEWIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "F4099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.