Provider Demographics
NPI:1598061954
Name:HODGKINS, LAUREN N (PA-C)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:N
Last Name:HODGKINS
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:N
Other - Last Name:BELK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:PO BOX 844658
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-4658
Mailing Address - Country:US
Mailing Address - Phone:800-994-0371
Mailing Address - Fax:
Practice Address - Street 1:11673 JOLLYVILLE RD STE 205
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-4211
Practice Address - Country:US
Practice Address - Phone:512-834-9999
Practice Address - Fax:512-834-9998
Is Sole Proprietor?:No
Enumeration Date:2011-02-02
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA06534363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1437563582Medicare UPIN