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Judson Sturdivant
Customized Equipment (DME) in Kyle, Texas
NPI 1417503798

Judson Sturdivant is a Customized Equipment (DME) based in Kyle, TX and is specialized in Customized Equipment. Judson Sturdivant practices in Kyle, TX. The NPI Number for Judson Sturdivant is 1417503798 and holds a License No. (Texas).

The current practice location address for Judson Sturdivant is 1101 Bunton Creek Road, Kyle, TX and can be reached out via phone at 512-699-3744.

Location: 1101 Bunton Creek Road, Kyle, TX, 78640
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417503798
Provider Name
Judson Sturdivant
Credential
Provider Entity Type
Individual
Gender
Male
Address
1101 Bunton Creek Road, Kyle, TX, 78640
Phone Number
512-699-3744
Fax Number
Provider Enumeration Date
08/13/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1101 Bunton Creek Road
City
Kyle
State
Texas
Zip
78640
Phone Number
512-699-3744
Fax Number
person
Provider Business Mailing Address Details
Address
1101 Bunton Creek Road
City
Kyle
State
Texas
Zip
78640
Phone Number
512-699-3744
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
()
Definition
Definition to come...
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