45D1044574 CLIA NUMBER - JENNIFER HUDMAN MD PA AZLE PEDIATRICS

Laboratory Demographics

CLIA Number: 45D1044574

Facility Name: JENNIFER HUDMAN MD PA AZLE PEDIATRICS

Facility Address:
604 SOUTHEAST PARKWAY
AZLE, TX
ZIP 76020
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Facility Phone Number: 817 270-2320

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1619955432

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	45D1044574
LAB Type	Physician Office
Facility Name	JENNIFER HUDMAN MD PA AZLE PEDIATRICS
Street	604 SOUTHEAST PARKWAY
City	AZLE
State	TX
ZIP	76020
Phone	817 270-2320
CertificateType	4
CertificateEffectiveDate	8/23/2023
CertificateExpirationDate	8/22/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024