Most Relevant Information
Provider Data
| NPI Number: | 1003417874 |
| Provider Name: | TINA HUDSON |
| Entity Type: | Individual |
| Taxonomy Code: | 164X00000X |
| Specialty: | Licensed Vocational Nurse |
| License Number: | 1014020 |
Most Important Dates
| Enumeration Date: | 11/06/2020 |
| Last Updated: | 11/06/2020 |
Provider Practice Location
1155 DAIRY ASHFORD RD STE 209
HOUSTON
TX
770793012
Practice Location Phone/Fax
| Phone: | 7137992200 |
| Fax: |
Provider Mailing Location
1155 DAIRY ASHFORD RD STE 209
HOUSTON
TX
770793012
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |