Provider Demographics
NPI:1972663953
Name:HODGEN, ELIZABETH RUTH (MHR)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:RUTH
Last Name:HODGEN
Suffix:
Gender:F
Credentials:MHR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1230 WINDSOR WAY
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-5339
Mailing Address - Country:US
Mailing Address - Phone:405-329-3137
Mailing Address - Fax:
Practice Address - Street 1:930 N FLOOD AVE
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-7642
Practice Address - Country:US
Practice Address - Phone:405-321-3719
Practice Address - Fax:405-364-3209
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator