Provider Demographics
NPI:1538361936
Name:HUDSPETH, DAVID THOMAS (PT)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:THOMAS
Last Name:HUDSPETH
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9930 KATY FWY
Mailing Address - Street 2:SUITE #600
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-6212
Mailing Address - Country:US
Mailing Address - Phone:281-844-0554
Mailing Address - Fax:
Practice Address - Street 1:9930 KATY FWY
Practice Address - Street 2:SUITE #600
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-6212
Practice Address - Country:US
Practice Address - Phone:281-844-0554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11186932251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic