Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | N4481 | TX |
N | 207V00000X | Obstetrician & Gynecologist | MD60384995 | WA |
N | 207VG0400X | Gynecologist | N4481 | TX |
NPI | 1255521191 |
---|---|
Provider Name | Channon Teria Hudgins |
First Address | Humble, TX 77338-4547 |
Second Address | Humble, TX 77338-4547 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2007 |
Last Update Date | 27/10/2016 |