DR. DAVID B UDALL (NPI# 1013123165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013123165 |
| Entity Type | Individual |
| Full Name | DR. DAVID B UDALL |
| Credential | MD |
| Practice Address |
109 Reid Rd Junction TX 76849-3008 |
| Mailing Address |
2101 Main St Junction TX 76849-3024 |
| Practice Telephone | 3254463305 |
| Practice Fax Number | 3254462257 |
| Mailing Telephone | 3254463305 |
| Mailing Fax Number | 3254462257 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2011-01-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | M4971 | TX | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 45537 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | BLUE CROSS | UD45537 | 01 |
| Street Address |
109 REID RD |
| City | JUNCTION |
| State | TX |
| Zip Code | 76849-3008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770505943 | Jennifer Artemis Johnson | Physician Assistant | 109 Reid Rd, Junction, TX 76849-3008 | 2006-07-24 |
| 1235386152 | Hayden J. Behling | Physician Assistant | 109 Reid Rd, Junction, TX 76849-3008 | 2008-08-21 |
| 1093738981 | Kimble County Hospital District | General Practice | 109 Reid Rd, Junction, TX 76849-3008 | 2006-07-25 |
| 1316969504 | Alfredo Lopez | Physician Assistant | 109 Reid Rd, Junction, TX 76849-3008 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427533207 | Cheryl Philipp Black I | Licensed Vocational Nurse | 1091 Kc 315, Junction, TX 76849 | 2018-09-27 |
| 1811075138 | Kimble County | Ambulance | 151 Hospital Drive, Junction, TX 76849 | 2006-11-02 |
| 1700991502 | Kimble County Meals On Wheels | Voluntary or Charitable | 404 College St, Junction, TX 76849 | 2006-08-20 |
| 1558775387 | Stratford Hospital District D/b/a Hill Country Care Center | Skilled Nursing Facility | 111 Hospital Dr, Junction, TX 76849-3020 | 2014-06-19 |
| 1194969782 | Junction Long Term Care, LLC | Skilled Nursing Facility | 111 Hospital Dr, Junction, TX 76849-3020 | 2009-04-27 |
| 1184695033 | Missionary Baptist Foundation of America, Inc | Nursing Facility/Intermediate Care Facility | 111 Hospital Dr, Junction, TX 76849-3020 | 2006-01-30 |
| 1972588390 | Kimble County Hospital District | General Acute Care Hospital | 2101 Main St, Junction, TX 76849-3024 | 2005-12-08 |
| 1689830242 | Preferred Hospital Leasing Junction, Inc | Home Health | 2101 Main St, Junction, TX 76849-3024 | 2008-08-04 |
| 1134229867 | Kimble Hospital | Rehabilitation Unit | 2101 Main St, Junction, TX 76849-3024 | 2006-09-23 |
| 1215037940 | Kimble County Hospital District | Medicare Defined Swing Bed Unit | 2101 Main St, Junction, TX 76849-3024 | 2006-09-23 |
| Find all providers in zip 76849 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114923331 | Alberto Noe Martinez | Family Medicine | 509 College St, Junction, TX 76849-4733 | 2005-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073599 | Julie Suzanne Rodriguez | Family Medicine | 421 W Wadley Ave Ste B, Midland, TX 79705-5368 | 2020-11-06 |
| 1871194670 | Priscilla Tehrani | Family Medicine | 615 North Loop E Unit 100, Houston, TX 77022-5934 | 2020-11-06 |
| 1821699976 | Dr. G Medical Solutions | Family Medicine | 4840 W Panther Creek Dr Ste 211, The Woodlands, TX 77381-3542 | 2020-11-05 |
| 1124629522 | Jose Reynaldo Carcamo Jr. | Family Medicine | 18568 Texas 46, Suite 1001, Spring Branch, TX 78070 | 2020-11-03 |
| 1205437662 | Angela Ekern | Family Medicine | 7421 Cordoba Dr, Austin, TX 78724-6252 | 2020-11-03 |
| 1770184020 | Kara Fenceroy | Family Medicine | 5425 Rolling Meadows Dr, Fort Worth, TX 76123-2836 | 2020-11-03 |
| 1881295327 | Courtney L Buchmeier | Family Medicine | 16620 San Pedro Ave, San Antonio, TX 78232-2327 | 2020-11-02 |
| 1003416207 | Adeline Galvez | Family Medicine | 1300 W Terrell Ave Ste 270, Fort Worth, TX 76104-2820 | 2020-10-27 |
| 1710585229 | Megan Alyse Loyd | Family Medicine | 2101 Kingsley Dr Apt 3106, Pearland, TX 77584-4118 | 2020-10-16 |
| 1104424795 | Rachel Elizabeth Whitten | Family Medicine | 614 S Business Ih 35 Ste A, New Braunfels, TX 78130-4748 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.