| Mark A Hudson, CRNA | |
|
387 W Ih 10, Fort Stockton, TX 79735-2700 | |
| (432) 336-2004 | |
| (432) 336-4545 |
| Full Name | Mark A Hudson |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 387 W Ih 10, Fort Stockton, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992733463 | NPI | - | NPPES |
| 773755 | Other | TX | MEDICARE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | NA 3160 (California) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 617497 (Texas) | Primary |
| Entity Name | Austin Gastroenterology Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427405810 PECOS PAC ID: 6305138603 Enrollment ID: O20160707000274 |
| Entity Name | Alamo Sedation Associates, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851810410 PECOS PAC ID: 2769748623 Enrollment ID: O20171108002963 |
| Entity Name | El Paso Ams Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134740202 PECOS PAC ID: 9931520970 Enrollment ID: O20200601000147 |
| Entity Name | Lone Star Anesthesia Associates, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245801299 PECOS PAC ID: 2860882529 Enrollment ID: O20230810003888 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A Hudson, CRNA 387 W Ih 10, Fort Stockton, TX 79735-2700 Ph: (432) 336-2004 | Mark A Hudson, CRNA 387 W Ih 10, Fort Stockton, TX 79735-2700 Ph: (432) 336-2004 |
Antonio R Acosta, DNP, APRN, CRNA, NSP Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 387 W Interstate 10, Fort Stockton, TX 79735 Phone: 432-336-2004 |