Provider Demographics
NPI:1285634014
Name:HODGES, JOHN PAUL JR (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PAUL
Last Name:HODGES
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1688
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77574-1688
Mailing Address - Country:US
Mailing Address - Phone:281-332-9631
Mailing Address - Fax:281-332-8192
Practice Address - Street 1:2047 W MAIN ST
Practice Address - Street 2:SUITE A8
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-3579
Practice Address - Country:US
Practice Address - Phone:281-332-9631
Practice Address - Fax:281-332-8192
Is Sole Proprietor?:No
Enumeration Date:2005-07-22
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4141111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition