KENNETH B. HUDSPETH M.D. NPI 1336292382

NPI Information

NPI: 1336292382
Provider Name: KENNETH B. HUDSPETH M.D.

Doing Business As: WIMBERLEY MEDICAL CLINIC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
12941 RANCH ROAD 12
WIMBERLEY, TX
ZIP 78676
Phone: (512) 847-6789
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KENNETH B. HUDSPETH M.D. is a primary care clinic center in Wimberley, TX. KENNETH B. HUDSPETH M.D. NPI is 1336292382. The provider is registered as an organization entity type.
The provider Is Doing Business As Wimberley Medical Clinic.

The provider's business location address is:

12941 RANCH ROAD 12
WIMBERLEY, TX
ZIP 78676-218
Phone: (512) 847-6789
Fax: (512) 847-7968

The provider's authorized official is Kenneth Hudspeth .
The authorized official title is President and has the following contact phone number (512) 847-6789.

The enumeration date for this NPI number is 1/20/2007 and was last updated on 1/9/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	D9503	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B23626	MEDICARE UPIN	TEXAS
2	00072J	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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