Individual
BROOKE A HODNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
505 S NOLEN DR STE A, SOUTHLAKE, TX 76092-9167
(817) 424-1525
(817) 424-3491
Mailing address
PO BOX 35629, DALLAS, TX 75235-0629
(214) 424-2200
(214) 231-2159
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03973
TX
Other
Enumeration date
02/20/2007
Last updated
07/09/2021
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