Individual
CARRIE BANIGAN HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP-C
Contact information
Practice address
500 CANYON RIDGE DR, AUSTIN, TX 78753-1632
(512) 836-9000
Mailing address
13111 NEW BOSTON BND, AUSTIN, TX 78729-7533
(512) 921-0640
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
791320
TX
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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