Individual
KATHERYN HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
760 GOLIAD ST, VIDOR, TX 77662-9345
(409) 926-4287
Mailing address
PO BOX 2114, NEDERLAND, TX 77627-8114
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
175052
TX
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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