Individual
DR. RALPH GAIL HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1636 HUNTERS GLEN RD, SAN ANGELO, TX 76901-5008
(325) 949-5722
(325) 942-1482
Mailing address
PO BOX 61043, SAN ANGELO, TX 76906-1043
(325) 949-4545
(325) 942-1482
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C6363
TX
2084P0804X
Child & Adolescent Psychiatry Physician
C6363
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A002
CHAMPUS
TX
Enumeration date
09/28/2006
Last updated
08/22/2007
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