Individual
DR. BRADLEY G HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1906 W US HIGHWAY 82, SHERMAN, TX 75092-6893
(903) 892-8398
(903) 892-6665
Mailing address
1906 W US HIGHWAY 82, SHERMAN, TX 75092-6893
(903) 892-8398
(903) 892-6665
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J1529
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K67V
MEDICARE/BLUESHIELD GROUP
TX
Enumeration date
10/11/2006
Last updated
03/18/2013
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