| Kenneth B. Hudspeth M.d. | |
|
12941 Ranch Road 12 Wimberley TX 78676-5218 | |
| (512) 847-6789 | |
| (512) 847-7968 |
| Full Name | Kenneth B. Hudspeth M.d. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 12941 Ranch Road 12, Wimberley, Texas |
| Authorized Official Name and Position | Kenneth Hudspeth (PRESIDENT) |
| Authorized Official Contact | 5128476789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth B. Hudspeth M.d. 12941 Ranch Road 12 P.o. Box 2070 Wimberley TX 78676-5218 Ph: (512) 847-6789 | Kenneth B. Hudspeth M.d. 12941 Ranch Road 12 Wimberley TX 78676-5218 Ph: (512) 847-6789 |
| NPI Number | 1336292382 |
|---|---|
| Provider Enumeration Date | 01/20/2007 |
| Last Update Date | 01/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336292382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | D9503 (Texas) | Primary |
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