Provider Demographics
NPI:1649465139
Name:HODGES, CHERYL LYNN (MD)
Entity type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:LYNN
Last Name:HODGES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CHERYL
Other - Middle Name:LYNN
Other - Last Name:NEAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7000 N MOPAC EXPY STE 200
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-3013
Mailing Address - Country:US
Mailing Address - Phone:737-366-6100
Mailing Address - Fax:512-305-3537
Practice Address - Street 1:7000 N MOPAC EXPY STE 200
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-3013
Practice Address - Country:US
Practice Address - Phone:737-366-6100
Practice Address - Fax:512-305-3537
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-08
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK63692084P0800X
AK47412084P0800X
TXM74682084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry