MEDICARE: PAMELIA HODGE-EALY DENTAL HYGIENIST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	124Q00000X	Dental Hygienist	8126	TX

General Provider Information

NPI Number	:	1164371951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELIA HODGE-EALY DENTAL HYGIENIST

Provider Business Mailing Address
First Line	:	7312 LOUETTA RD STE B118-508
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-6175
Country	:	US
Telephone Number	:	281-450-4192
Fax Number	:

Provider Business Practice Location Address
First Line	:	7312 LOUETTA RD STE B118-508
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-6175
Country	:	US
Telephone Number	:	281-450-4192
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2026
Last Update Date	:	01/24/2026

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Directions to “ PAMELIA HODGE-EALY DENTAL HYGIENIST” Practice Location

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