Provider Demographics
NPI:1952589400
Name:E. VICTOR HUDMAN II MD PA
Entity type:Organization
Organization Name:E. VICTOR HUDMAN II MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:VICTOR
Authorized Official - Last Name:HUDMAN
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:325-690-1805
Mailing Address - Street 1:6200 REGIONAL PLZ
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-5250
Mailing Address - Country:US
Mailing Address - Phone:325-690-1805
Mailing Address - Fax:325-690-6145
Practice Address - Street 1:6200 REGIONAL PLZ
Practice Address - Street 2:SUITE 1200
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-5250
Practice Address - Country:US
Practice Address - Phone:325-690-1805
Practice Address - Fax:325-690-6145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-07
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty