WILLIAM EARL TUDOR APRN PMHNP-BC NPI 1104075001

NPI Information

  • NPI: 1104075001
  • Provider Name: WILLIAM EARL TUDOR, APRN, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 8109 FREDERICKSBURG RD
    SAN ANTONIO, TX
    ZIP 78229
  • Phone: (210) 575-0508

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NPI Details

William Earl Tudor, APRN, PMHNP-BC is a psychiatric/mental health nurse practitioner in San Antonio, TX. William Earl Tudor, APRN, PMHNP-BC NPI is 1104075001. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8109 FREDERICKSBURG RD
SAN ANTONIO, TX
ZIP 78229-311
Phone: (210) 575-0508

The enumeration date for this NPI number is 9/16/2008 and was last updated on 8/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health459021TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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