Healthcare Provider Details

I. General information

NPI: 1538099445
Provider Name (Legal Business Name): HUDSON CREEK BUSINESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3850 COPPERCREST DR
BRYAN TX
77802-5937
US

IV. Provider business mailing address

3850 COPPERCREST DR
BRYAN TX
77802-5937
US

V. Phone/Fax

Practice location:
  • Phone: 903-618-0731
  • Fax:
Mailing address:
  • Phone: 903-618-0731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number
License Number State

VIII. Authorized Official

Name: MR. SYED KHIZER SCHON HUSAIN
Title or Position: OWNER
Credential:
Phone: 469-739-6473