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General NPI Number Information
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NPI Number | 1356255293
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Entity Type | Organization
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Legal Business Name | R2C2 TX MEDICAL PC
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 10601 CLARENCE DR STE 250
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City | FRISCO
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State | TX
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Zip | 75033-3867
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Country | US
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Telephone | 337-315-7927
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Fax |
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Provider Business Mailing Address
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Address Line | 10601 CLARENCE DR STE 250
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City | FRISCO
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State | TX
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Zip | 75033-3867
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Country | US
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Telephone | 337-315-7927
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JONATHAN HODOR
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Credential | DO
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Telephone | 337-315-7927
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State | NULL
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State | NULL
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State | NULL
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