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NPI Code Detail

MEDICARE: DR. HOLBERT CLAY HODGES DO

MEDICARE: DR. HOLBERT CLAY HODGES DO
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
1207Q00000XFamily Medicine Physician02006044AIN
2207P00000XEmergency Medicine Physician0102206925VA
3207Q00000XFamily Medicine Physician0102206925VA

General Provider Information

NPI Number : 1447780259
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HOLBERT CLAY HODGES DO
Provider Business Mailing Address
First Line : 2905 PINEHURST DR
Second Line :
City : HARLINGEN
State : TX
Zip : 78550-8687
Country : US
Telephone Number : 606-682-2069
Fax Number :
Provider Business Practice Location Address
First Line : 2222 BENWOOD ST
Second Line :
City : HARLINGEN
State : TX
Zip : 78550-8532
Country : US
Telephone Number : 956-389-2440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2017
Last Update Date : 01/13/2022

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