Jonathan Hudson, CSFA

Individual provider Respiratory/Developmental/Rehabilitative Specialist/Technologist · NPI 1700535630

Jonathan Hudson, CSFA is a Respiratory/Developmental/Rehabilitative Specialist/Technologist in Tyler, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in: TX
In the registry since: 2022
Specialties on file: 2

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Practice location Address checks out

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone: (903) 606-5560

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Specialties & licences

Surgical Assistant (primary)	Taxonomy 246ZC0007X · Licence 208501 (TX)
Respiratory/Developmental/Rehabilitative Specialist/Technologist	Taxonomy 225500000X

Record details

NPI number	1700535630
Entity type	Individual (Type 1)
Gender	Male
Credentials	CSFA
Sole proprietor	Yes
NPI enumerated	March 18, 2022
Last updated in NPPES	May 12, 2022
Certification date	May 12, 2022
Mailing address	630 S Fleishel Ave, Tyler, TX 75701-2041