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NPI Code Detail

MEDICARE: DR. KATHRYN JUDD D.O.

MEDICARE:  DR. KATHRYN  JUDD  D.O.
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
12084P0800XPsychiatry PhysicianM-8065TX

General Provider Information

NPI Number : 1881879054
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHRYN JUDD D.O.
Provider Business Mailing Address
First Line : 9898 COLONNADE BLVD APT 6108
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78230-2271
Country : US
Telephone Number : 469-525-1949
Fax Number :
Provider Business Practice Location Address
First Line : 1975 BABCOCK RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-4584
Country : US
Telephone Number : 214-275-8500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2008
Last Update Date : 04/02/2014

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Directions to “ DR. KATHRYN JUDD D.O.” Practice Location

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