MEDICARE: DR. WILLIAM ROBERT 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	207T00000X	Neurological Surgery Physician	E1336	TX

General Provider Information

NPI Number	:	1710930540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM ROBERT HUDGINS M.D.

Provider Business Mailing Address
First Line	:	7515 GREENVILLE AVE
Second Line	:	SUITE 1030
City	:	DALLAS
State	:	TX
Zip	:	75231-3831
Country	:	US
Telephone Number	:	214-691-2111
Fax Number	:	214-691-3799

Provider Business Practice Location Address
First Line	:	7515 GREENVILLE AVE
Second Line	:	SUITE 1030
City	:	DALLAS
State	:	TX
Zip	:	75231-3831
Country	:	US
Telephone Number	:	214-691-2111
Fax Number	:	214-691-3799

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

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	07/16/2007

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