Hudson-Wagner, Eustacia O

Hudson-Wagner, Eustacia O is an individual health care provider with primary practice located at 2548 Memorial Blvd , Port Arthur TX 77640-2825. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Hudson-Wagner, Eustacia O can be contacted via phone (409) 983-1161.

Contact Information

Primary practice address
2548 Memorial Blvd Port Arthur TX 77640-2825
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1811478449
LBN Legal business name Hudson-Wagner, Eustacia O
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2018
Last updated Aug 22nd, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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