| Audra Hodges, PA | |
|
6316 Precinct Line Rd, Hurst, TX 76054-2766 | |
| (817) 605-2504 | |
| Not Available |
| Full Name | Audra Hodges |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 6316 Precinct Line Rd, Hurst, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700157708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA07613 (Texas) | Primary |
| Entity Name | Cook Childrens Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800 |
| Entity Name | Texas Health Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174573596 PECOS PAC ID: 4385535954 Enrollment ID: O20040323000759 |
| Mailing Address | Practice Location Address |
|---|---|
| Audra Hodges, PA Po Box 99213, Fort Worth, TX 76199-0213 Ph: (682) 885-1860 | Audra Hodges, PA 6316 Precinct Line Rd, Hurst, TX 76054-2766 Ph: (817) 605-2504 |
Tarjani S Mehta, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 6316 Precinct Line Rd Ste A, Hurst, TX 76054 Phone: 817-605-2504 Fax: 817-605-2505 |
Mrs. Nabila Tabassum, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 779 Grapevine Hwy, Hurst, TX 76054 Phone: 817-428-7300 |
Stephanie A Hilton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 779 Grapevine Hwy, Hurst, TX 76054 Phone: 817-428-7300 Fax: 817-428-1085 |
Ray Shoulders, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1717 Precinct Line Rd Ste 200, Hurst, TX 76054 Phone: 936-615-8820 |
Linda Hua, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 804 Ne Mall Blvd, Hurst, TX 76053 Phone: 817-592-9700 |
Rajat Khadka, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1709 Precinct Line Rd, Hurst, TX 76054 Phone: 817-281-0402 |
Jeremy Thomas Diver, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6316 Precinct Line Rd, Hurst, TX 76054 Phone: 817-605-2525 |