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NPI Code Detail

MEDICARE: SHERYN HODGES

MEDICARE: SHERYN HODGES
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
1183500000XPharmacist37760TX

General Provider Information

NPI Number : 1164871885
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERYN HODGES
Provider Business Mailing Address
First Line : 5330 FM 1640 RD
Second Line :
City : RICHMOND
State : TX
Zip : 77469-5435
Country : US
Telephone Number : 281-342-7921
Fax Number : 281-342-7912
Provider Business Practice Location Address
First Line : 5330 FM 1640 RD
Second Line :
City : RICHMOND
State : TX
Zip : 77469-5435
Country : US
Telephone Number : 281-342-7921
Fax Number : 281-342-7912
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2016
Last Update Date : 06/03/2016

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