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Contact Information

CHARLES HUDSON, MD
CONCORD MEDICAL GROUP
1602 AVENUE Q
LUBBOCK, TX79401
 Phone: 972-829-6613
 Fax: 800-611-5029
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CHARLES HUDSON · (Male)

NPI # 1003997768
Status Active
Credentials MD
Entity Individual
Enumeration date 10/18/2006
Last updated 05/23/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • AR License # E-4237
  • TX License # E6429
  • AR Medicaid 157958001
  • TX Medicaid 131407209
  • AR Other P00204650 RAILROAD MEDICARE
  • TX Other 8DL165 BCBS
  • TX Other P01176879 RAILROAD MEDICARE
Hospital affiliation(s)
  • HAMILTON HOSPITAL - (Critical Access)
    901 WEST HAMILTON
    OLNEY, TX 76374
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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