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Contact Information

JUDSON STURDIVANT
1101 BUNTON CREEK ROAD
KYLE, TX78640
 Phone: 512-699-3744
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Customized Equipment

332BC3200X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for JUDSON STURDIVANT · (Male)

NPI # 1417503798
Status Active
Credentials
Entity Individual
Enumeration date 08/13/2019
Last updated 08/13/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
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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