Provider Demographics
NPI:1215195375
Name:HODGES, BRANDY (AUD)
Entity type:Individual
Prefix:DR
First Name:BRANDY
Middle Name:
Last Name:HODGES
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1204 W ARKANSAS LN
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013-6451
Mailing Address - Country:US
Mailing Address - Phone:682-867-7637
Mailing Address - Fax:682-867-4664
Practice Address - Street 1:1204 W ARKANSAS LN
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-6451
Practice Address - Country:US
Practice Address - Phone:682-867-7637
Practice Address - Fax:682-867-4664
Is Sole Proprietor?:No
Enumeration Date:2008-05-27
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80137231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1215195375Medicaid