Provider Demographics
NPI:1083165831
Name:INTERNAL MEDICINE OF THE BIG COUNTRY PLLC
Entity Type:Organization
Organization Name:INTERNAL MEDICINE OF THE BIG COUNTRY PLLC
Other - Org Name:BIG COUNTRY INTERNAL MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:VICTOR
Authorized Official - Last Name:HUDMAN
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:325-232-8668
Mailing Address - Street 1:4716 S 14TH ST
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79605-4733
Mailing Address - Country:US
Mailing Address - Phone:325-232-8668
Mailing Address - Fax:325-701-9970
Practice Address - Street 1:4716 S 14TH ST
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79605-4733
Practice Address - Country:US
Practice Address - Phone:325-669-9569
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-17
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF4113207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty