Provider Demographics
NPI:1992760045
Name:HUDAK, STEVEN JEFFREY (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JEFFREY
Last Name:HUDAK
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3551 ROGER BROOKE DR
Mailing Address - Street 2:MCHE-SDU, BUILDING 3600
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78234-6200
Mailing Address - Country:US
Mailing Address - Phone:210-916-1163
Mailing Address - Fax:210-916-5076
Practice Address - Street 1:3551 ROGER BROOKE DR
Practice Address - Street 2:MCHE-SDU, BUILDING 3600
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78234-6200
Practice Address - Country:US
Practice Address - Phone:210-916-1163
Practice Address - Fax:210-916-5076
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2012-08-13
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Provider Licenses
StateLicense IDTaxonomies
NE23612208800000X
TXN5116208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology