Individual
CLAYTON HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
590 MEDICAL CENTER ROAD, FORT CAVAZOS, TX 76544-5060
(254) 288-8000
Mailing address
2925 BRIARPARK DR STE 575, HOUSTON, TX 77042-3776
(832) 626-2842
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1165012
MO
363A00000X
Physician Assistant
Primary
PA14922
TX
Other
Enumeration date
01/24/2020
Last updated
12/16/2024
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