MRS. JUSTINE LEE HUDSON (NPI# 1104370543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104370543 |
| Entity Type | Individual |
| Full Name | MRS. JUSTINE LEE HUDSON |
| Other Name | MS. JUSTINE LEE HATTON |
| Credential | PA-C |
| Practice Address |
1055 Ada St San Antonio TX 78223-1703 |
| Mailing Address |
Po Box 87 San Antonio TX 78291-0087 |
| Practice Telephone | 2103585515 |
| Practice Fax Number | 2103585530 |
| Mailing Telephone | (210) 358-9172 |
| Mailing Fax Number | 2103589183 |
| Enumeration Date | 2016-08-13 |
| Last Update Date | 2017-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA10721 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1055 ADA ST |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78223-1703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417947326 | Marco Xavier Garcia | Internal Medicine | 1055 Ada St, San Antonio, TX 78223-1703 | 2005-10-24 |
| 1124509625 | Bridget Sedano Haggerty | Nurse Practitioner | 1055 Ada St, San Antonio, TX 78223-1703 | 2018-08-23 |
| 1821501347 | Daniel R. Flores | Pharmacist | 1055 Ada St, San Antonio, TX 78223-1703 | 2017-11-06 |
| 1740715671 | Hao Shen | Family Medicine | 1055 Ada St, San Antonio, TX 78223-1703 | 2017-04-28 |
| 1639604069 | Kennedy Michael Tlaseca | Pediatrics | 1055 Ada St, San Antonio, TX 78223-1703 | 2017-04-24 |
| 1891149381 | Albert Bararwandika | Family Medicine | 1055 Ada St, San Antonio, TX 78223-1703 | 2016-04-20 |
| 1689033722 | Stephanie Kaiser | Physician Assistant | 1055 Ada St, San Antonio, TX 78223-1703 | 2016-02-17 |
| 1477936219 | Deborah Dergan | Family Medicine | 1055 Ada St, San Antonio, TX 78223-1703 | 2015-06-29 |
| 1821476649 | Kathryn Wolters | Physical Therapist | 1055 Ada St, San Antonio, TX 78223-1703 | 2015-05-13 |
| 1639575053 | Tinesha Rios | Nurse Practitioner | 1055 Ada St, San Antonio, TX 78223-1703 | 2014-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598310344 | Celebraces Se Military Pllc | Dentist | 3611 Se Military Drive, Suite B101, San Antonio, TX 78223 | 2019-08-08 |
| 1295204410 | All Discountz Mobile Phlebotomy Services | Contractor | 6639 South New Braunfels, #19101, San Antonio, TEXAS 78223 | 2018-11-16 |
| 1588131585 | Ad Mobile Phlebotomy Services | Technician, Pathology | 6639 South New Braunfels Avenue, #19101, San Antonio, TEXAS 78223 | 2018-10-28 |
| 1437626694 | Valerie Brown | Technician, Pathology | C/o 6639 South New Braunfels Avenue, #19101, San Antonio, TEXAS 78223 | 2018-10-25 |
| 1285135574 | Allan Socrates Mamaril Angeles | Registered Nurse | 535 Hot Wells Blvd, Apt 301, San Antonio, TX 78223 | 2018-02-22 |
| 1356799845 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3502 Se Military Drive, San Antonio, TX 78223 | 2016-05-25 |
| 1467810325 | Dsi Southeast San Antonio, LLC | Clinic/Center | 2635 S.e. Military Drive, San Antonio, TX 78223 | 2016-02-08 |
| 1477832293 | Jg-surgical Assistant's,llc | Specialist/Technologist, Other | 5311 Cynthia Linn, San Antonio, TX 78223 | 2011-08-10 |
| 1841580826 | Kiddo Denal Pa | Dentist | 3520 S. New Braunfels Ste 100, Kiddo Dental, San Antonio, TX 78223 | 2011-04-12 |
| 1770885162 | Primavera Primary Home Care, Inc | Custodial Care Facility | 1007 Fair, San Antonio, TX 78223 | 2010-11-17 |
| Find all providers in zip 78223 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447866298 | Diana P Olivares | Physician Assistant | 8920 Quihi Way, San Antonio, TX 78254-1901 | 2020-09-17 |
| 1740893445 | Mcrm Assist, Pllc | Physician Assistant | 14546 Brook Hollow Blvd # 417, San Antonio, TX 78232-3810 | 2020-08-24 |
| 1508476086 | Matthew Gaines | Physician Assistant | 2626 Bluff Xing, San Antonio, TX 78244-1000 | 2020-08-09 |
| 1235757519 | Joseph Dominic Wechsler Jr. | Physician Assistant | 9114 Autumn Skies, San Antonio, TX 78254-1929 | 2020-07-13 |
| 1396368015 | Maureen Genov | Physician Assistant | 540 Madison Oak Dr Ste 450, San Antonio, TX 78258-3932 | 2020-05-28 |
| 1386266062 | Sun Assist, Pllc | Physician Assistant | 10650 Culebra Rd # 104-484, San Antonio, TX 78251-4949 | 2020-05-15 |
| 1134758964 | Mark Lee Nentwig | Physician Assistant | 1434 E Sonterra Blvd Ste 206, San Antonio, TX 78258-4973 | 2020-04-03 |
| 1962034694 | Christina L Russell | Physician Assistant | 525 Oak Centre Dr Ste 100, San Antonio, TX 78258-3916 | 2020-02-11 |
| 1265071203 | Caralyne Sandquist | Physician Assistant | 5510 Presidio Parkway, Building #2 Suite 2401, San Antonio, TX 78249 | 2019-12-21 |
| 1447808498 | Elizabeth Ann Blair | Physician Assistant | 24623 Birdie Rdg, San Antonio, TX 78260-7847 | 2019-09-03 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78223 |
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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.