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WIMBERLEY MEDICAL CLINIC
NPI 1336292382
Clinic/Center - Primary Care in Wimberley, TX

Active since January 20, 2007CLIA 45D0931636 · Microscopy
12941 RANCH ROAD 12, WIMBERLEY, TX 78676(512) 847-6789(512) 847-7968 Get Directions Write a Review

NPPES record last updated: January 9, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wimberley Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WIMBERLEY MEDICAL CLINIC (NPI 1336292382) is a healthcare organization registered as a primary care in Wimberley, Texas and active in the NPI registry since January 2007. The organization holds a CLIA Microscopy certificate valid through December 29, 2027 and lists Kenneth Hudspeth, President, as its authorized official.

NPPES Registry Identity

NPI1336292382
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameKENNETH B. HUDSPETH M.D.
Location Address12941 RANCH ROAD 12Wimberley, TX 78676-5218
Mailing Address12941 Ranch Road 12, P.o. Box 2070Wimberley, TX 78676-5218 · (512) 847-6789 · Fax (512) 847-7968
Phone(512) 847-6789
Fax(512) 847-7968
Organization SubpartNo
Authorized OfficialKenneth HudspethPresident · (512) 847-6789
Enumeration DateJanuary 20, 2007
Last NPPES UpdateJanuary 9, 2008
✔ NPI 1336292382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in TX · D9503
12941 RANCH ROAD 12, Wimberley, TX 78676
Open in Google Maps ↗

Other Names 1

Doing Business AsWimberley Medical Clinic

Other Identifiers 2

Medicare UPINB23626TX
Medicare PIN00072JTX

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D0931636

Wimberley Medical Clinic · Wimberley, TX
Active · expires Dec 29, 2027
CLIA Number45D0931636
Laboratory TypePhysician Office
Certificate Effective DateDecember 30, 2025
Certificate Expiration DateDecember 29, 2027
Laboratory DirectorJuan I. Ramirez
Laboratory Phone(512) 847-6789
Laboratory LocationWimberley Medical Clinic9670 Ranch Rd 12, Wimberley, TX 78676
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KENNETH B HUDSPETH M.D.
Family Medicine
12941 RANCH ROAD 12
WIMBERLEY, TX 78676
Hays County (512) 847-6789

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth B. Hudspeth M.D.'s NPI number?

The NPI number for Kenneth B. Hudspeth M.D. is 1336292382. It was assigned to this organization in the NPPES registry on January 20, 2007. The provider is doing business as Wimberley Medical Clinic.

Where is Kenneth B. Hudspeth M.D. located?

Kenneth B. Hudspeth M.D. is located at 12941 Ranch Road 12, Wimberley, TX 78676. The listed phone number is (512) 847-6789.

What is Kenneth B. Hudspeth M.D.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Kenneth B. Hudspeth M.D. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D0931636) is associated with this NPI, valid through December 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kenneth B. Hudspeth M.D. was last updated on January 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.