MEDICARE: DR. JAMES J HUDGINS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	G7235	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053311993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES J HUDGINS M.D.

Provider Business Mailing Address
First Line	:	4001 W 15TH ST
Second Line	:	STE 335
City	:	PLANO
State	:	TX
Zip	:	75093-5841
Country	:	US
Telephone Number	:	972-596-5225
Fax Number	:	972-596-2684

Provider Business Practice Location Address
First Line	:	4001 W 15TH ST
Second Line	:	STE 335
City	:	PLANO
State	:	TX
Zip	:	75093-5841
Country	:	US
Telephone Number	:	972-596-5225
Fax Number	:	972-596-2684

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	03/19/2015

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