Physician Compare National (NPI:1336107127)

HEALTHCARE PROVIDER: H. STEPHEN HUDGENS MD

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

Individual Professional Information
NPI	1336107127
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3678730991
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120130000026
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HUDGENS
	Individual professional last name
Provider First Name	HERBERT
	Individual professional first name
Provider Middle Name	S
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
	Individual professional's medical school
Graduation Year	1981
	Individual professional's medical school graduation year
Primary Specialty	CARDIAC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	THORACIC SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	VASCULAR SURGERY
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	THORACIC SURGERY, VASCULAR SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	800 8TH AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 510
	Group Practice or individual's line 2 address
City	FORTWORTH
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	761042604
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8173325714
	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	450135
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y