Kudisch, Marc L

Kudisch, Marc L is an sole proprietor health care provider with primary practice located at 3030 S Gessner Rd Ste 120 , Houston TX 77063-3770. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Kudisch, Marc L can be contacted via phone (713) 777-9995.

Contact Information

Primary practice address
3030 S Gessner Rd Ste 120 Houston TX 77063-3770
Phone: (713) 777-9995
Fax: (713) 777-0100
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X J1289 Texas
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X DR.0065485 Colorado

Profile Details

NPI number 1093716375
LBN Legal business name Kudisch, Marc L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2005
Last updated Jan 20th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093716375 NPPES
Texas MEDICAID 131866903

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