Individual
ASHLEY MICHELLE HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 W PULASKI ST, FORT WORTH, TX 76104-2717
(682) 885-8012
Mailing address
PO BOX 99213, FORT WORTH, TX 76199-0213
(682) 885-4446
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1047866
TX
Other
Enumeration date
07/27/2021
Last updated
04/02/2024
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