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1164131884
MIRANDA HODGE
HOUSTON, TX
NPI
1164131884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA16223)
Enumeration Date
2022-11-21
Last Update Date
2022-11-21
Business Address
MIRANDA HODGE
4006 UNIVERSITY GROVE ST
HOUSTON, TX 77023-1500
Phone number: 210-326-5217
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Mailing Address
MIRANDA HODGE
6414 FANNIN ST STE G150
HOUSTON, TX 77030-1514
Phone number:
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