SAMUEL L HUDSON MDPA
NPI 1609002518
Durable Medical Equipment & Medical Supplies in Lake Jackson, TX

Active since June 05, 2009
120 FLAG LAKE DR, LAKE JACKSON, TX 77566(979) 299-6900(979) 299-6903 Get Directions Write a Review

NPPES record last updated: June 5, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel L Hudson Mdpa NPPES

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

SAMUEL L HUDSON MDPA (NPI 1609002518) is a healthcare organization registered as a durable medical equipment & medical supplies in Lake Jackson, Texas and active in the NPI registry since June 2009. The organization lists Camille Hudson, Manager, as its authorized official.

NPPES Registry Identity

NPI1609002518
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSAMUEL L HUDSON MDPA
Location Address120 FLAG LAKE DRLake Jackson, TX 77566-6292
Mailing AddressPo Box 4165Lake Jackson, TX 77566-2065 · (979) 299-6900 · Fax (979) 299-6903
Fax(979) 299-6903
Organization SubpartNo
Authorized OfficialCamille HudsonManager · (979) 299-6900
Enumeration DateJune 5, 2009
NPI 1609002518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License Licensed in TX · F4099
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
120 FLAG LAKE DR, Lake Jackson, TX 77566

Other Identifiers 4

Medicare NSC6162810001TX
Medicare PIN00W884TX
Medicare UPINC17162TX
Medicaid183692601TX

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner
120 FLAG LAKE DR, SUITE 2
LAKE JACKSON, TX 77566
Family Medicine
120 FLAG LAKE DR, SUITE 2
LAKE JACKSON, TX 77566
Orthopaedic Surgery
120 FLAG LAKE DR, SUITE 1
LAKE JACKSON, TX 77566
Nurse Practitioner (Family)
120 FLAG LAKE DR
LAKE JACKSON, TX 77566
Orthopaedic Surgery
120 FLAG LAKE DR, SUITE 1
LAKE JACKSON, TX 77566

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 Samuel L Hudson Mdpa's NPI number?

The NPI number for Samuel L Hudson Mdpa is 1609002518. It was assigned to this organization in the NPPES registry on June 5, 2009.

Where is Samuel L Hudson Mdpa located?

Samuel L Hudson Mdpa is located at 120 Flag Lake Dr, Lake Jackson, TX 77566. The listed phone number is (979) 299-6900.

What is Samuel L Hudson Mdpa's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Samuel L Hudson Mdpa was last updated on June 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.