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Elizabeth Joan Hudson

Internal Medicine

Allopathic & Osteopathic Physicians

1100 Wilford Hall Loop, San Antonio, TX 78236-5638

PECOS Enrollment

This provider is enrolled in PECOS as ELIZABETH HUDSON.

Based on the most recent information from CMS, provider Elizabeth Joan Hudson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 12:57 PM.

Profile Details

Provider ID
1699237545
Provider Type
Individual
Full Name
Hudson, Elizabeth Joan
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
4/1/2019
Last Updated
10/5/2023

Contact Information

Practice Location

1100 Wilford Hall Loop, San Antonio, TX 78236-5638

(210) 292-4288

Unlisted Fax

Mailing Location

1100 Wilford Loop, Jbsa Lackland Afb, TX 78236

(210) 292-7562

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 35.141568 Ohio

Elizabeth Joan Hudson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Campbell, Miles

Murphy, Taylor Aaron

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