Individual
CHAD RAY HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 312-8328
(337) 433-2031
Mailing address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 312-8258
(337) 312-6708
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN136771
LA
363L00000X
Nurse Practitioner
Primary
AP09641
LA
Other
Enumeration date
04/05/2017
Last updated
01/09/2018
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