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Contact Information

JONATHAN HUDSON, CSFA
630 S FLEISHEL AVE
TYLER, TX75701-2041
 Phone: 903-606-5560
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Assistant

246ZC0007X
 

Specialist/Technologist

225500000X
Indicates primary specialty

NPI Profile & details for JONATHAN HUDSON · (Male)

NPI # 1700535630
Status Active
Credentials CSFA
Entity Individual
Enumeration date 03/18/2022
Last updated 05/12/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 208501
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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