Provider Demographics
NPI:1093718793
Name:HUDMAN, EUGENE VICTOR II (MD)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:VICTOR
Last Name:HUDMAN
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Suffix:
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Other - Credentials:
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:325-232-8668
Practice Address - Fax:325-701-9970
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK2927207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX116581301Medicaid
TX87261GOtherBLUE CROSS/BLUE SHIELD
TX116581304OtherTX HEALTHSTEPS
TX752728591005OtherTRICARE
TX115572100OtherFIRST CARE
TX115726OtherC.H.I.P./SUPERIOR HEALTH
TX115572100OtherFIRST CARE
TXG95523Medicare UPIN
TX116581301Medicaid