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Individual

DR. JOHN WILLIAM HODGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4916 OVERTON PLAZA, FORT WORTH, TX 76109
(817) 529-1152
(817) 334-0235
Mailing address
4916 OVERTON PLAZA, FORT WORTH, TX 76109
(817) 529-1152
(817) 334-0235

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
E4408
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
120255805
TX
Enumeration date
10/02/2006
Last updated
09/23/2009
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