Individual
DR. JOSEPH CHARLES HODGES II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 N 4TH ST, LONGVIEW, TX 75601-4717
(903) 757-2122
(903) 757-9475
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
P9875
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP20038032
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01429036
RAILROAD MEDICARE
TX
Enumeration date
10/02/2009
Last updated
07/23/2015
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