Individual
DR. ELLEN ELIZABETH HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
4401 BOOTH CALLOWAY RD, NORTH RICHLAND HILLS, TX 76180-7371
(817) 255-1000
Mailing address
10413 GRAYHAWK LN, FORT WORTH, TX 76244-6345
(979) 218-9028
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
57.013706
OH
207P00000X
Emergency Medicine Physician
Primary
N7460
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284387201
—
TX
05
—
284387202
—
TX
Enumeration date
04/18/2007
Last updated
08/15/2022
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