MEDICARE: DR. BRANDY HODGES AUD

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	231H00000X	Audiologist	80137	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215195375
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRANDY HODGES AUD

Provider Business Mailing Address
First Line	:	1204 W ARKANSAS LN
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-6451
Country	:	US
Telephone Number	:	682-867-7637
Fax Number	:	682-867-4664

Provider Business Practice Location Address
First Line	:	1204 W ARKANSAS LN
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-6451
Country	:	US
Telephone Number	:	682-867-7637
Fax Number	:	682-867-4664

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

Provider Enumeration Date	:	05/27/2008
Last Update Date	:	03/24/2022

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