Provider Demographics
NPI:1194426296
Name:HODGES PLLC
Entity type:Organization
Organization Name:HODGES PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DO/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TONI
Authorized Official - Middle Name:
Authorized Official - Last Name:HODGES-WILLS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:702-308-2288
Mailing Address - Street 1:851 S RAMPART BLVD STE 260
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89145-4888
Mailing Address - Country:US
Mailing Address - Phone:702-813-7200
Mailing Address - Fax:
Practice Address - Street 1:851 S RAMPART BLVD STE 260
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89145-4888
Practice Address - Country:US
Practice Address - Phone:702-813-7200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-15
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty