Provider Demographics
NPI:1891525564
Name:HODGES, AUSTIN P (PTT)
Entity type:Individual
Prefix:MR
First Name:AUSTIN
Middle Name:P
Last Name:HODGES
Suffix:
Gender:M
Credentials:PTT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8611 DATAPOINT DR APT 71
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-5924
Mailing Address - Country:US
Mailing Address - Phone:336-935-0292
Mailing Address - Fax:
Practice Address - Street 1:3100 SHOFIELD ROAD
Practice Address - Street 2:
Practice Address - City:FORT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234
Practice Address - Country:US
Practice Address - Phone:210-916-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other