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Individual

MR. JONATHAN HODGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CNIM

Contact information

Practice address
1141 E LOOP 1604, SUITE 105, SAN ANTONIO, TX 78232
(210) 598-4228
Mailing address
1141 E LOOP 1604, SUITE 105, SAN ANTONIO, TX 78232
(210) 598-4228

Taxonomy

Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary

Other

Enumeration date
09/17/2015
Last updated
09/17/2015
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