DR. MARY BRANDT HUDELSON M.D.
Allergy and Immunology
Flower Mound, Texas
Provider NPI: 1679530372
Provider Information:DR. MARY BRANDT HUDELSON M.D.
Practice Location:
3051 CHURCHILL DR STE 130 FLOWER MOUND, TX 75022 US
Tel: 972-539-0086 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207K00000X | Physicians Allergy & Immunology | TX | H4184 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 4378428 | AETNA | TX | 01 |
| RAILROAD MEDICARE | 030003804 | TX | 01 |
| BC/BS | 82391S | TX | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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