Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | PD322R | LA |
NPI | 1437159787 |
---|---|
Provider Name | Dr. Eunice V. Hodges |
First Address | New Orleans, LA 70128-2717 |
Second Address | New Orleans, LA 70128-2717 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2005 |
Last Update Date | 29/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1461962 | (05) | LA |
U99271 | (02) | LA |