MEDICARE: DR. EUNICE V. HODGES DPM

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	213EP1101X	Primary Podiatric Medicine Podiatrist	PD322R	LA

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	:	1437159787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EUNICE V. HODGES DPM

Provider Business Mailing Address
First Line	:	11143 WINCHESTER PARK DR
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70128-2717
Country	:	US
Telephone Number	:	504-822-1155
Fax Number	:	504-822-1177

Provider Business Practice Location Address
First Line	:	11143 WINCHESTER PARK DR
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70128-2717
Country	:	US
Telephone Number	:	504-822-1155
Fax Number	:	504-822-1177

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

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	11/29/2010

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