Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
N | 174V00000X | Clinical Ethicist | ||
Y | 208200000X | Surgeon | 76-199 | NM |
Y | 208600000X | Surgeon | 76-199 | NM |
NPI | 1801085410 |
---|---|
Provider Name | Dr. Patrick Hudson |
First Address | Edgewood, NM 87015-6808 |
Second Address | Albuquerque, NM 87102-2706 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2007 |
Last Update Date | 16/12/2012 |