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NPI Code Detail

MEDICARE: SARAH GRAY HUDEK RN

MEDICARE:   SARAH GRAY HUDEK  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse1091476TX

General Provider Information

NPI Number : 1225989122
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH GRAY HUDEK RN
Provider Business Mailing Address
First Line : 1530 DOROTHY ST
Second Line :
City : HOUSTON
State : TX
Zip : 77008-3828
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1635 NORTH LOOP W
Second Line :
City : HOUSTON
State : TX
Zip : 77008-1532
Country : US
Telephone Number : 832-647-6465
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2026
Last Update Date : 02/05/2026

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