Hudson Amc LLC
Internal Medicine in Shreveport, LA. Organization (NPI-2).
NPI number1982106456
StatusActive
Last updated in NPPESJan 27, 2023
Details
- NPI
- 1982106456
- Entity type
- Organization (NPI-2)
- Legal business name
- Hudson Amc LLC
- Organization subpart
- No
- Enumeration date
- Mar 1, 2018
- Certification date
- Jan 27, 2023
- Last updated
- Jan 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 207RG0300X | Internal Medicine, Geriatric Medicine | – | – |
Practice location
1800 Irving PlaceShreveport, LA 71101
Phone 318-425-4096
Mailing address
Po Box 1684Shreveport, LA 71165-1684
Phone 318-424-4008 · Fax 855-230-1466
Authorized official
David Mitchell Hudson
Member
6013107466
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