Individual
AUDRA HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6316 PRECINCT LINE RD, HURST, TX 76054-2766
(817) 605-2504
Mailing address
PO BOX 99213, FORT WORTH, TX 76199-0213
(682) 885-1860
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07613
TX
Other
Enumeration date
01/23/2012
Last updated
11/09/2021
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