Provider Demographics
NPI:1700173259
Name:HUDSON, ROBERT BRENT (ATP, CRTS)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:BRENT
Last Name:HUDSON
Suffix:
Gender:M
Credentials:ATP, CRTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901-50TH ST.
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79412-2716
Mailing Address - Country:US
Mailing Address - Phone:806-771-9701
Mailing Address - Fax:806-771-9703
Practice Address - Street 1:1901-50TH ST.
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79412-2716
Practice Address - Country:US
Practice Address - Phone:806-771-9701
Practice Address - Fax:806-771-9703
Is Sole Proprietor?:No
Enumeration Date:2011-07-06
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other