Organization
NICOLE C HODGE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM R SIVARAMAN (BILLING MANAGER)
(214) 550-5300
Entity
Organization
Contact information
Practice address
1115 PHILIP DR, ALLEN, TX 75013-3354
(214) 550-5399
Mailing address
1115 PHILIP DR, ALLEN, TX 75013-3354
(214) 550-5399
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M7272
TX
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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