Individual
MATTHEW D HODNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240-6524
(972) 715-5000
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 715-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
87186
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
AP127063
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
345191601
—
TX
01
—
8504UJ
BCBS TX
TX
Enumeration date
12/04/2013
Last updated
10/27/2015
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