Healthcare Provider Details

I. General information

NPI: 1356266183
Provider Name (Legal Business Name): K HUDSON BEAUTY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8204 PAT BOOKER RD
LIVE OAK TX
78233-2440
US

IV. Provider business mailing address

3105 TURQUOISE
SCHERTZ TX
78154-6141
US

V. Phone/Fax

Practice location:
  • Phone: 210-847-8999
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: KINETA HUDSON
Title or Position: OWNER
Credential:
Phone: 210-847-8999