David B Udall (NPI# 1013123165, PAC ID# 4284721853) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1013123165 |
PAC ID by PECOS | 4284721853 |
Professional Enrollment ID | I20091113000463 |
Full Name | David B Udall |
Address |
399 Reid Rd Junction TX 76849-3024 |
Gender | M |
Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
Graduation Year | 2006 |
Primary Specialty | FAMILY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
451306 | KIMBLE HOSPITAL |
450007 | PETERSON REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
399 Reid Rd, Junction, TX 76849-3024 |
Street Address |
399 REID RD |
City | JUNCTION |
State | TX |
Zip | 76849-3024 |
Name | Specialty | Organization | Address |
---|---|---|---|
Thomas E Ducker | Gastroenterology | 2101 Main St, Junction, TX 76849-3024 | |
Alberto Noe Martinez | Family Medicine | 2101 Main St, Junction, TX 76849-3321 |
City | JUNCTION |
Zip Code | 76849 |
Specialty | FAMILY MEDICINE |
City + Specialty | JUNCTION + FAMILY MEDICINE |
Please comment or provide details below to improve the information on David B Udall.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.