Provider Demographics
NPI:1285633057
Name:HODICS, TIMEA (MD)
Entity type:Individual
Prefix:
First Name:TIMEA
Middle Name:
Last Name:HODICS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1364 CHIMNEY ROCK RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-2331
Mailing Address - Country:US
Mailing Address - Phone:240-423-2741
Mailing Address - Fax:
Practice Address - Street 1:6560 FANNIN ST FL TOWER8
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2761
Practice Address - Country:US
Practice Address - Phone:713-363-9589
Practice Address - Fax:713-796-9700
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC340222084N0400X
TXN44732084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC021979G93Medicare PIN
H51445Medicare UPIN