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Samuel L Hudson Mdpa
Durable Medical Equipment & Medical Supplies in Lake Jackson, Texas
NPI 1609002518

Samuel L Hudson Mdpa is a Durable Medical Equipment & Medical Supplies based in Lake Jackson, TX. Samuel L Hudson Mdpa practices in Lake Jackson, TX. The NPI Number for Samuel L Hudson Mdpa is 1609002518 and holds a License No. F4099 (Texas).

The current practice location address for Samuel L Hudson Mdpa is 120 Flag Lake Dr, Lake Jackson, TX and can be reached out via phone at 979-299-6900 and via fax at 979-299-6903.

Location: 120 Flag Lake Dr, Lake Jackson, TX, 77566-2065
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609002518
Provider Name
Samuel L Hudson Mdpa
Credential
Provider Entity Type
Organization
Address
120 Flag Lake Dr, Lake Jackson, TX, 77566-2065
Phone Number
979-299-6900
Fax Number
979-299-6903
Provider Enumeration Date
06/05/2009
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
183692601 05 TX
institution
Provider Business Practice Location Address Details
Address
120 Flag Lake Dr
City
Lake Jackson
State
Texas
Zip
77566-6292
Phone Number
979-299-6900
Fax Number
979-299-6903
person
Provider Business Mailing Address Details
Address
120 Flag Lake Dr
City
Lake Jackson
State
Texas
Zip
77566-6292
Phone Number
979-299-6900
Fax Number
979-299-6903
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
F4099 (Texas)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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