Provider Demographics
NPI:1326146648
Name:HUTTON, JUDITH ANNETTE (CRNA)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:ANNETTE
Last Name:HUTTON
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:JUDITH
Other - Middle Name:ANNETTE
Other - Last Name:HUDGINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:45 BAYOU POINTE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-1037
Mailing Address - Country:US
Mailing Address - Phone:713-203-9086
Mailing Address - Fax:
Practice Address - Street 1:6411 FANNIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1501
Practice Address - Country:US
Practice Address - Phone:713-620-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2023-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX444541367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX88608COtherBLUE CROSS PROVIDER ID
TX109894901Medicaid
TX430027429OtherRAILROAD MEDICARE ID