Individual
DR. WILLIAM GREGORY HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3417 GASTON AVE STE 800, DALLAS, TX 75246-2034
(214) 323-8500
(214) 820-7463
Mailing address
PO BOX 35629, DALLAS, TX 75235-0629
(214) 424-2200
(214) 231-2159
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
H6292
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129692303
—
TX
01
—
89Y240
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/20/2005
Last updated
03/05/2019
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