Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 022980 | LA |
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 022980 | LA |
NPI | 1003017484 |
---|---|
Provider Name | Dr. William Paul Hudson II |
First Address | New Orleans, LA 70112-1041 |
Second Address | New Orleans, LA 70112-2865 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2007 |
Last Update Date | 27/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
49683 | (05) | LA |