Provider Demographics
NPI:1447780259
Name:HODGES, HOLBERT CLAY (DO)
Entity Type:Individual
Prefix:DR
First Name:HOLBERT
Middle Name:CLAY
Last Name:HODGES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2905 PINEHURST DR
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8687
Mailing Address - Country:US
Mailing Address - Phone:606-682-2069
Mailing Address - Fax:
Practice Address - Street 1:2222 BENWOOD ST
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8532
Practice Address - Country:US
Practice Address - Phone:956-389-2440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-14
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02006044A207Q00000X
VA0102206925207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine