| Doctor Name: | DR. JOSEPH CHARLES HODGES |
| NPI Number: | 1144554577 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | BP20038032 |
| Business Practice Address: | 1300 N 4th St Longview, TX - 756014717 |
| Business Phone Number: | 9037572122 |
| Business Fax Number: | 9037579475 |
| Mailing Address: | Po Box 911230, DALLAS |
| State: | TX |
| Postal Code: | 753911230 |
| Phone Number: | 9729978000 |
| Fax Number: | 9722342987 |
| NPI Enumeration Date: | 10/02/2009 |
| NPI Last Update Date: | 07/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | BP20038032 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |