Provider Demographics
NPI:1609243336
Name:HODGES, GABRIELLE PILAR (MSN, RN)
Entity Type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:PILAR
Last Name:HODGES
Suffix:
Gender:F
Credentials:MSN, RN
Other - Prefix:
Other - First Name:GABRIELLE
Other - Middle Name:PILAR
Other - Last Name:FRISBIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, RN
Mailing Address - Street 1:1011 W GROVE ST
Mailing Address - Street 2:STE 120
Mailing Address - City:KAUFMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75142-1882
Mailing Address - Country:US
Mailing Address - Phone:972-932-1319
Mailing Address - Fax:972-932-1396
Practice Address - Street 1:1011 W GROVE ST
Practice Address - Street 2:STE 120
Practice Address - City:KAUFMAN
Practice Address - State:TX
Practice Address - Zip Code:75142-1882
Practice Address - Country:US
Practice Address - Phone:972-932-1319
Practice Address - Fax:972-932-1396
Is Sole Proprietor?:No
Enumeration Date:2015-08-28
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX180125163WP0200X
TXAP129298363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163WP0200XNursing Service ProvidersRegistered NursePediatrics