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Individual

EMILY ELISA HODGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
120 MEDICAL DR, BOERNE, TX 78006-1830
(830) 816-5700
Mailing address
PO BOX 555, BANDERA, TX 78003
(830) 931-3336

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16478
TX

Other

Enumeration date
02/22/2023
Last updated
06/16/2023
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