Active NPI 1154680056 Individual Practitioner Male Practitioner

Dr. Tillman Hudson , MD

Urology • Tulsa, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Tillman Hudson, MD is a certified Urology practicing in Tulsa, OK. With approximately 14 years of clinical experience since graduating from University Of Texas Southwestern Medical School At Dallas in 2012, Dr. Hudson delivers high-quality medical care to the local community at 10901 E 48TH ST.

Dr. Hudson is affiliated with Urologic Specialists Of Oklahoma Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, established patient outpatient office visit, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10901 E 48th St

Tulsa, OK 741465830

Telephone 9187498765

Fax 9183922155

Associated Practice Facility / Clinic

🏢 Urologic Specialists Of Oklahoma Inc Facility NPI 1174546162

Medicare Profile & Education

Medical School

University Of Texas Southwestern Medical School At Dallas

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Tulsa, OK

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -12.7 yrs vs City Avg

City Avg: 26.7 Yrs

State Avg: 31.6 Yrs

Regional Practice Density

46 Specialists

Practicing in Tulsa, OK (179 Statewide)

Telehealth Adoption Rate

17.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hudson (14 Years) 14 Yrs

Tulsa Specialty Average (26.7 Years) 26.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	279	205	$35.00	$15.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	255	195	$213.55	$117.82
81003 Automated urinalysis test	242	188	$16.00	$2.18
51798 Ultrasound measurement of bladder capacity after voiding	212	171	$39.00	$9.90
99213 Established patient office or other outpatient visit, typically 15 minutes	138	121	$150.77	$83.67
52000 Diagnostic exam of bladder and urethra using an endoscope	94	82	$466.23	$212.63
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	90	15	$411.00	$177.52
J0696 Injection, ceftriaxone sodium, per 250 mg	84	21	$6.00	$0.46
52649 Complete laser fragmentation of prostate including control of bleeding using an endoscope	44	44	$2033.20	$763.93
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	32	$306.00	$119.60
52332 Insertion of stent in urinary duct (ureter) using an endoscope	30	25	$1269.60	$117.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$317.00	$149.08
74420 Imaging of urinary tract	26	23	$58.00	$22.80
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	21	21	$3553.00	$1109.29
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	20	20	$1666.00	$307.55
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	18	18	$170.00	$52.97
55700 Biopsy of prostate gland	18	18	$587.00	$218.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	17	$297.33	$166.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$208.00	$99.48
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	13	$1125.30	$388.66
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	12	$102.00	$46.23
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	13	13	$64.00	$31.59
51700 Simple bladder irrigation and/or instillation	12	12	$176.00	$66.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	322	242	$209.00	$118.23
51798 Ultrasound measurement of bladder capacity after voiding	307	241	$39.00	$9.53
81003 Automated urinalysis test	270	202	$16.00	$2.19
99213 Established patient office or other outpatient visit, typically 15 minutes	169	145	$142.00	$83.78
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	132	16	$411.00	$161.83
52000 Diagnostic exam of bladder and urethra using an endoscope	103	94	$420.00	$222.29
J0696 Injection, ceftriaxone sodium, per 250 mg	92	23	$6.00	$0.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$317.00	$155.92
52649 Complete laser fragmentation of prostate including control of bleeding using an endoscope	64	64	$2030.33	$758.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	48	47	$306.00	$125.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$208.00	$105.86
74420 Imaging of urinary tract	30	27	$41.00	$23.62
52332 Insertion of stent in urinary duct (ureter) using an endoscope	27	23	$1136.37	$126.19
55700 Biopsy of prostate gland	22	22	$587.00	$225.73
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	22	22	$170.00	$54.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	19	$281.00	$168.40
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	17	$87.00	$47.81
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	16	16	$3597.41	$1037.33
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	15	13	$52.00	$13.27
52356 Crushing of stone of ureter with insertion of stent using an endoscope	15	15	$1227.60	$399.12
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	15	15	$1666.00	$325.38
51700 Simple bladder irrigation and/or instillation	12	12	$176.00	$70.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	11	$161.00	$76.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
51798 Ultrasound measurement of bladder capacity after voiding	273	229	$39.00	$9.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	267	208	$209.00	$120.04
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	246	32	$411.00	$170.42
99213 Established patient office or other outpatient visit, typically 15 minutes	167	145	$142.00	$84.47
81003 Automated urinalysis test	144	134	$16.00	$2.19
G9678 Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation a	98	32	$160.00	$159.72
52000 Diagnostic exam of bladder and urethra using an endoscope	93	80	$420.00	$226.31
52649 Complete laser fragmentation of prostate including control of bleeding using an endoscope	54	54	$2038.99	$765.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$317.00	$156.94
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	51	34	$52.00	$13.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	45	$306.00	$127.63
52332 Insertion of stent in urinary duct (ureter) using an endoscope	33	29	$1423.49	$131.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	30	$281.00	$169.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$208.00	$104.45
55700 Biopsy of prostate gland	23	23	$587.00	$123.38
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	22	22	$3553.00	$1344.89
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	22	22	$170.00	$29.79
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	20	20	$1666.00	$309.22
74420 Imaging of urinary tract	19	19	$41.00	$23.71
51700 Simple bladder irrigation and/or instillation	18	17	$176.00	$71.40
76872 Ultrasound scan of pelvic region through rectum	15	15	$223.27	$31.26
55874 Injection of biodegradable material next to prostate	14	14	$7462.00	$155.18
51702 Simple insertion of temporary bladder tube	14	11	$164.00	$57.75
55876 Placement of device in prostate for radiation therapy	14	14	$302.00	$47.65
52356 Crushing of stone of ureter with insertion of stent using an endoscope	13	11	$1180.38	$423.87
55706 Needle stereotactic and image-guided biopsy of prostate gland	11	11	$819.00	$353.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G9678 Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation a	357	53	$160.00	$160.27
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	200	30	$411.00	$161.02
51798 Ultrasound measurement of bladder capacity after voiding	199	181	$39.00	$9.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	166	144	$209.00	$122.00
99213 Established patient office or other outpatient visit, typically 15 minutes	163	144	$142.00	$84.92
81003 Automated urinalysis test	130	123	$16.00	$2.24
52000 Diagnostic exam of bladder and urethra using an endoscope	102	88	$420.00	$219.24
52649 Complete laser fragmentation of prostate including control of bleeding using an endoscope	57	57	$2024.00	$799.15
J0696 Injection, ceftriaxone sodium, per 250 mg	41	11	$6.00	$0.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$317.00	$160.54
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	38	31	$52.00	$13.08
55700 Biopsy of prostate gland	30	30	$587.00	$126.27
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	30	30	$170.00	$30.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	27	$281.00	$172.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$208.00	$106.80
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	16	$161.00	$69.12
52332 Insertion of stent in urinary duct (ureter) using an endoscope	15	15	$1269.60	$129.64
76872 Ultrasound scan of pelvic region through rectum	14	14	$245.00	$32.17
55876 Placement of device in prostate for radiation therapy	14	14	$302.00	$48.42
55874 Injection of biodegradable material next to prostate	14	14	$7462.00	$159.05
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	11	11	$3553.00	$1397.55
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	11	11	$1666.00	$321.62
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$226.00	$96.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	260	32	$411.00	$221.79
G9678 Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation a	218	38	$160.00	$159.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	181	149	$209.00	$102.57
99213 Established patient office or other outpatient visit, typically 15 minutes	151	128	$142.00	$70.74
51798 Ultrasound measurement of bladder capacity after voiding	135	117	$39.00	$9.28
52000 Diagnostic exam of bladder and urethra using an endoscope	109	88	$420.00	$195.67
99231 Follow-up hospital inpatient care per day, typically 15 minutes	82	49	$87.00	$38.53
81003 Automated urinalysis test	70	66	$16.00	$2.23
J0696 Injection, ceftriaxone sodium, per 250 mg	60	15	$6.00	$0.58
52649 Complete laser fragmentation of prostate including control of bleeding using an endoscope	57	57	$2024.00	$820.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	54	54	$449.00	$194.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	51	33	$52.00	$13.51
52332 Insertion of stent in urinary duct (ureter) using an endoscope	39	34	$1220.77	$136.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$317.00	$158.28
55700 Biopsy of prostate gland	28	28	$587.00	$123.86
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	27	27	$170.00	$31.57
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	23	$161.00	$70.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	23	$281.00	$139.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$208.00	$97.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$86.00	$43.15
52356 Crushing of stone of ureter with insertion of stent using an endoscope	13	13	$1259.08	$463.73
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	12	12	$3553.00	$1437.10
76872 Ultrasound scan of pelvic region through rectum	12	12	$245.00	$33.18
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	12	12	$1666.00	$329.76
55876 Placement of device in prostate for radiation therapy	11	11	$302.00	$49.99
55874 Injection of biodegradable material next to prostate	11	11	$7462.00	$164.68
55700 Biopsy of prostate gland	11	11	$587.00	$236.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	197	165	$140.81	$69.69
51798 Ultrasound measurement of bladder capacity after voiding	180	161	$39.00	$11.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	162	124	$208.04	$101.57
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	157	19	$411.00	$224.71
81003 Automated urinalysis test	141	110	$16.00	$2.44
G9678 Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation a	130	22	$160.00	$156.80
52000 Diagnostic exam of bladder and urethra using an endoscope	88	82	$420.00	$173.40
J0696 Injection, ceftriaxone sodium, per 250 mg	65	17	$6.00	$0.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$316.19	$156.52
52649 Complete laser fragmentation of prostate including control of bleeding using an endoscope	61	61	$2019.60	$812.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$207.25	$101.21
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	56	56	$436.93	$195.76
99231 Follow-up hospital inpatient care per day, typically 15 minutes	51	36	$85.00	$38.14
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	34	22	$52.00	$15.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	29	$84.32	$42.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	21	$280.00	$134.33
52356 Crushing of stone of ureter with insertion of stent using an endoscope	23	21	$1001.43	$404.79
52332 Insertion of stent in urinary duct (ureter) using an endoscope	21	19	$1157.71	$122.28
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	18	18	$170.00	$31.41
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$219.44	$98.29
55700 Biopsy of prostate gland	17	17	$525.18	$224.63
55700 Biopsy of prostate gland	17	17	$526.00	$125.58
51703 Complicated insertion of bladder tube	12	12	$280.00	$76.50
76872 Ultrasound scan of pelvic region through rectum	12	12	$245.00	$111.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$296.00	$124.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	341	246	$137.00	$69.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	163	133	$203.00	$100.58
51798 Ultrasound measurement of bladder capacity after voiding	144	130	$39.00	$14.20
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	144	18	$411.00	$207.57
81003 Automated urinalysis test	139	112	$16.00	$2.71
J0696 Injection, ceftriaxone sodium, per 250 mg	134	29	$6.00	$0.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	81	81	$204.00	$101.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	81	81	$313.00	$154.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	79	76	$82.00	$41.14
52000 Diagnostic exam of bladder and urethra using an endoscope	79	71	$420.00	$154.41
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	54	39	$52.00	$18.79
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	31	$85.00	$38.10
52649 Complete laser fragmentation of prostate including control of bleeding using an endoscope	44	44	$2013.00	$812.94
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	34	30	$170.00	$55.17
99202 New patient office or other outpatient visit, typically 20 minutes	29	29	$141.00	$70.00
55700 Biopsy of prostate gland	28	28	$519.00	$235.82
52356 Crushing of stone of ureter with insertion of stent using an endoscope	21	19	$944.95	$423.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$436.00	$196.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$295.00	$132.90
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$275.00	$137.68
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	15	$1139.63	$110.81
51703 Complicated insertion of bladder tube	13	13	$278.00	$72.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
51798 Ultrasound measurement of bladder capacity after voiding	115	111	$39.00	$16.96
99213 Established patient office or other outpatient visit, typically 15 minutes	97	90	$137.00	$68.26
81003 Automated urinalysis test	80	79	$16.00	$3.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	65	$203.00	$99.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$204.00	$99.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$313.00	$152.37
52000 Diagnostic exam of bladder and urethra using an endoscope	26	26	$420.00	$148.28
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	13	$85.00	$37.78
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	16	12	$52.00	$22.41
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$140.00	$69.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$81.00	$40.33
52332 Insertion of stent in urinary duct (ureter) using an endoscope	11	11	$976.00	$111.83

Medical Specialties & State Licenses

CMS Verified: 2025-02-17

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License OK 32187

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License TX 565314

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Urologic Specialists Of Oklahoma Inc

6801 Rogers Ave, Fort Smith, AR 729034067

Phone: 9187498765

Urologic Specialists Of Oklahoma Inc

10901 E 48th St, Tulsa, OK 741465830

Phone: 9187498765

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

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Urology

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Doctor of Medicine (M.D.)

Dr. Rustin Walters , MD

Urology

NPI 1053381467

Doctor of Medicine (M.D.)

Monica Lee , PA-C

Physician Assistant

NPI 1053888669

Physician Assistant (Certified)

Dr. Anthony Brooks , MD

Urology

NPI 1073191615

Doctor of Medicine (M.D.)

Dr. Jack Miller , MD

Urology

NPI 1093737538

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Practice Location February 17, 2025

Registered at 10901 E 48TH ST, TULSA, OK 741465830 (Tel: 9187498765)

📍

Updated Business Mailing Address February 17, 2025

Registered at 10901 E 48TH ST, TULSA, OK 741465830 (Tel: 9187498765)

📍

Updated Practice Location September 21, 2018

Registered at 6585 S YALE AVE STE 720, TULSA, OK 741368320 (Tel: 9185025930)

📍

Updated Business Mailing Address September 21, 2018

Registered at 6600 S YALE AVE STE 1200, TULSA, OK 741363333 (Tel: 9184886687)

✅

NPI Profile Active May 11, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location May 11, 2012

Registered at 2401 S 31ST ST, TEMPLE, TX 765080001 (Tel: 2547242111)

📍

Updated Business Mailing Address May 11, 2012

Registered at 2401 S 31ST ST, TEMPLE, TX 765080001 (Tel: 2547242111)

👤

Provider Name / Credentials Updated May 11, 2012

Recorded as TILLMAN HUDSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2012

Student in an Organized Health Care Education/Training Program (License #565314 in TX)

🟢

Initial NPI Registration & Enumeration May 11, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154680056

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 11, 2012

Last Update: February 17, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

10901 E 48th St

Tulsa, OK 741465830

Phone: 9187498765

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.