KENNETH B. HUDSPETH M.D.
Ambulatory Health at Ranch Road 12, Woodcreek, TX

License number
Texas D9503
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. KENNETH HUDSPETH M.D.
Title: PRESIDENT
Phone: (512) 847-6789
Address
Address
12941 Ranch Road 12, Woodcreek, TX 78676
National Provider ID: 1336292382
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KENNETH B. HUDSPETH, M.D., PA

Woodcreek, TX

Registration:
Mar 11, 1998
Addresses:
PO Box 228, Wimberley, TX 78676 (Mailing)
13900 Rnch Rd 12, Woodcreek, TX 78676
State ID:
0081887403
Business type:
Professional Association
President , Treasurer , Secretary , Director , Member , Vice-President:
Kenneth B. Hudspeth (President , Treasurer , Secretary , Director , Member , Vice-President)
Agent:
Kenneth B Hudspeth,150 Dry Cypress Rnch, Wimberley, TX 78676 (Physical)
TIN:
32036006024

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