Provider Demographics
NPI:1831269208
Name:HODNETT, JOHN EMIL (DC)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:EMIL
Last Name:HODNETT
Suffix:
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 1:5415 70TH PL
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-2016
Mailing Address - Country:US
Mailing Address - Phone:806-698-1056
Mailing Address - Fax:
Practice Address - Street 1:8004 ABBEVILLE AVE
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-2806
Practice Address - Country:US
Practice Address - Phone:806-687-9355
Practice Address - Fax:806-687-4063
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9562111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8J0811OtherBCBS
TX8J0811OtherBCBS