| Dr Michael R Hudson, MD | |
|
707 Hollybrook Dr, Longview, TX 75605-2410 | |
| (903) 757-6042 | |
| (903) 232-8566 |
| Full Name | Dr Michael R Hudson |
|---|---|
| Gender | Male |
| Speciality | Pediatric Medicine |
| Experience | 38 Years |
| Location | 707 Hollybrook Dr, Longview, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528035953 | NPI | - | NPPES |
| 133903810 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | H5454 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Associated Clinicians Of East Texas | 4789957440 | 102 |
| Entity Name | Associated Clinicians Of East Texas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932640349 PECOS PAC ID: 4789957440 Enrollment ID: O20170831003007 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael R Hudson, MD Po Box 610393, Dallas, TX 75261-0393 Ph: (903) 291-6187 | Dr Michael R Hudson, MD 707 Hollybrook Dr, Longview, TX 75605-2410 Ph: (903) 757-6042 |
Sarah E Starr, APRN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3564 N Fourth St Ste B, Longview, TX 75605 Phone: 903-231-3144 Fax: 903-231-3230 | |
Dr. Suzanne M Gomez-diaz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 818 N 4th St, Longview, TX 95601 Phone: 903-236-8600 Fax: 903-236-8605 | |
Stephanie Ann Porter, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3564 N Fourth St Ste A, Longview, TX 75605 Phone: 903-230-3311 Fax: 903-230-3312 | |
Dr. Telema Dikibujiri Nga, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 Phone: 856-782-2212 | |
Dr. Karen L Roberts, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 707 Hollybrook Dr, Longview, TX 75605 Phone: 903-757-6042 Fax: 903-232-8226 | |
Lacy Kennedy Eaton, PA Pediatrics Medicare: Medicare Enrolled Practice Location: 3564 N Fourth St Ste A, Longview, TX 75605 Phone: 903-230-3311 Fax: 903-230-3312 | |
Darvy Lee Mann, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 707 Hollybrook Dr, Longview, TX 75605 Phone: 903-757-6042 Fax: 903-232-8566 |