MEDICARE: DR. BRITTANY NICOLE HODGSON M.D.

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	208000000X	Pediatrics Physician	125-064937	IL
2	208000000X	Pediatrics Physician	R4238	TX

General Provider Information

NPI Number	:	1376956227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRITTANY NICOLE HODGSON M.D.

Provider Business Mailing Address
First Line	:	3517 IRVINGTON BLVD STE 200
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77009-5700
Country	:	US
Telephone Number	:	832-548-0000
Fax Number	:	832-213-0271

Provider Business Practice Location Address
First Line	:	3517 IRVINGTON BLVD STE 200
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77009-5700
Country	:	US
Telephone Number	:	832-548-0000
Fax Number	:	832-213-0271

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

Provider Enumeration Date	:	06/09/2014
Last Update Date	:	08/10/2022

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