Physician Compare National (NPI:1114279783)

HEALTHCARE PROVIDER: TESSA HUDSPETH D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1114279783
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0042566770
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180710002878
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HUDSPETH
	Individual professional last name
Provider First Name	TESSA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
	Individual professional's medical school
Graduation Year	2012
	Individual professional's medical school graduation year
Primary Specialty	DIAGNOSTIC RADIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	TEXAS RADIOLOGY ASSOCIATES LLP
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	3779578000
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	123
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1105 CENTRAL EXPRESSWAY N
	Group Practice or individual's line 1 address
Line 2 Street Address	TEXAS HEALTH PRESBYTERIAN HOSPITAL OF ALLEN
	Group Practice or individual's line 2 address
City	ALLEN
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	750136103
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9727471000
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450651
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEDICAL CITY PLANO
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450771
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450537
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	METHODIST RICHARDSON MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	450639
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	450271
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	WISE REGIONAL HEALTH SYSTEM
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1114279783)

HEALTHCARE PROVIDER: TESSA HUDSPETH D.O.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information