Provider Demographics
NPI:1093712085
Name:LUDWICK, JAMES J (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:J
Last Name:LUDWICK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12606 OLD WESTHEIMER #220
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2787
Mailing Address - Country:US
Mailing Address - Phone:281-556-1102
Mailing Address - Fax:281-556-1340
Practice Address - Street 1:12606 OLD WESTHEIMER #220
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2787
Practice Address - Country:US
Practice Address - Phone:281-556-1102
Practice Address - Fax:281-556-1340
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-05
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9330207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX167775901Medicaid
TX167775903Medicaid
I15072Medicare UPIN
TXI15072Medicare PIN