# DR. J . TIMOTHY HODGES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1902802465
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | C-5203 | AR | Yes |

## Other

- **Enumeration date:** 06/21/2005
- **Last updated:** 11/21/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01-20103 | UNITED HEALTHCARE | AR |
| 01 | — | 080008954 | RAILROAD MEDICARE | — |
| 05 | — | 105361001 | — | AR |
| 01 | — | 11164000000 | QUALCHOICE | AR |