Hodge, Mary Candace

Hodge, Mary Candace is an individual health care provider with primary practice located at 2308 Ridge Rd Ste C, Rockwall TX 75087-5154. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Hodge, Mary Candace can be contacted via phone (972) 772-3767.

Contact Information

Primary practice address
2308 Ridge Rd Ste C Rockwall TX 75087-5154
Phone: (972) 772-3767
Fax: (972) 722-1868
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1065225 Texas

Profile Details

NPI number 1871597260
LBN Legal business name Hodge, Mary Candace
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Jul 24th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871597260 NPPES
Texas Other 659527 BLUECROSS

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