Individual
DANIEL LEE HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1103 KALISTE SALOOM RD, SUITE 100, LAFAYETTE, LA 70508-5783
(337) 234-5234
(337) 235-2121
Mailing address
1103 KALISTE SALOOM RD, SUITE 100, LAFAYETTE, LA 70508-5783
(337) 234-5234
(337) 235-2121
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
07019R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1358720
—
LA
Enumeration date
07/22/2005
Last updated
09/10/2014
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