Healthcare Provider Details

I. General information

NPI: 1639331226
Provider Name (Legal Business Name): FRANK PARKER HUDSON III M.D., M.P.H.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2008
Last Update Date: 03/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E 15TH ST
AUSTIN TX
78701-1930
US

IV. Provider business mailing address

1912 SPEEDWAY # SZB546 MAIL CODE: D2000
AUSTIN TX
78712-1235
US

V. Phone/Fax

Practice location:
  • Phone: 512-324-7000
  • Fax: 512-324-8021
Mailing address:
  • Phone: 512-495-5205
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD442123
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD442123
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number2013-00637
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2013-00637
License Number StateNC
# 5
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberQ7560
License Number StateTX
# 6
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberQ7560
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: