Provider Demographics
NPI:1295412005
Name:HUTSON, RODNEY KENT SR
Entity type:Individual
Prefix:
First Name:RODNEY
Middle Name:KENT
Last Name:HUTSON
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9431 ROSIE LN
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-3706
Mailing Address - Country:US
Mailing Address - Phone:281-734-2708
Mailing Address - Fax:
Practice Address - Street 1:9431 ROSIE LN
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-3706
Practice Address - Country:US
Practice Address - Phone:281-734-2708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD6781207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology