Individual
BRENDA HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
531 TUNNEL ST, CEDAR HILL, TX 75104-8155
(941) 763-9667
Mailing address
531 TUNNEL ST, CEDAR HILL, TX 75104-8155
(941) 763-9667
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
321610
TX
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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