Hannah Dodge, PA-C

NPI #1528643129 in Grapevine, Texas

Provider Information

NPI Number: 1528643129
Entity Type: Individual
Name: Hannah Dodge, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 15, 2021
Last Updated: Dec 31, 2024

Practice Location

Address: 220 N PARK BLVD
City: Grapevine
State: Texas
ZIP Code: 76051-6987
Phone: (817) 280-9616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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