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Individual

LEFAYNE HODDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5747 N SCOUT ISLAND CIR, AUSTIN, TX 78731-3370
(512) 343-2972
Mailing address
5747 N SCOUT ISLAND CIR, AUSTIN, TX 78731-3370

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
H0452
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
132754607
TX
Enumeration date
05/03/2006
Last updated
05/21/2012
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