Provider Demographics
NPI:1245467331
Name:RALPH G HODGES MD PA
Entity type:Organization
Organization Name:RALPH G HODGES MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:HODGES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-951-5513
Mailing Address - Street 1:3030 MCKINNEY AVE
Mailing Address - Street 2:APT# 301
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-7425
Mailing Address - Country:US
Mailing Address - Phone:972-951-5513
Mailing Address - Fax:
Practice Address - Street 1:3030 MCKINNEY AVE
Practice Address - Street 2:APT# 301
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-7425
Practice Address - Country:US
Practice Address - Phone:972-951-5513
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-16
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty