Hudson Amc Llc | |
1800 Irving Place Shreveport LA 71101 | |
(318) 425-4096 | |
Not Available |
Full Name | Hudson Amc Llc |
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Speciality | Internal Medicine |
Location | 1800 Irving Place, Shreveport, Louisiana |
Authorized Official Name and Position | David Mitchell Hudson (MEMBER) |
Authorized Official Contact | 6013107466 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hudson Amc Llc Po Box 1684 Shreveport LA 71165-1684 Ph: (318) 424-4008 | Hudson Amc Llc 1800 Irving Place Shreveport LA 71101 Ph: (318) 425-4096 |
NPI Number | 1982106456 |
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Provider Enumeration Date | 03/01/2018 |
Last Update Date | 01/27/2023 |
Medicare PECOS PAC ID | 7719242270 |
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Medicare Enrollment ID | O20180604001687 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982106456 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
Provider Name | David Hudson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1063831352 PECOS PAC ID: 3870891146 Enrollment ID: I20170907002880 |
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