Individual
CORY DAN HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1105 CULBERTSON ST SW, ARDMORE, OK 73401-5307
(580) 465-0718
Mailing address
1105 CULBERTSON ST SW, ARDMORE, OK 73401-5307
(580) 465-0718
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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