Bryan W Hodges in Las Cruces - Addiction (substance Use Disorder)

Bryan W Hodges - NPI 1720205719

Bryan W Hodges is a Addiction (substance Use Disorder) in Las Cruces, New Mexico. Bryan W Hodges practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Bryan W Hodges is 1720205719. The last update date is 2015-02-17.

Bryan W Hodges's current location address is 100 W Griggs Ave, Las Cruces, New Mexico. You can contact this provider via phone number 5756472800 and fax number 5756472898. The mailing address for Bryan W Hodges is 100 W Griggs Ave, Las Cruces, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Bryan W Hodges
Address 100 W Griggs Ave, Las Cruces, New Mexico
Phone Number 5756472800
Fax Number 5756472898
Sole Proprietor N
Credentials LISW, LADA

NPI Number Detail

NPI Number 1720205719
Provider Enumeration Date 2007-04-19
Last Updated Date 2015-02-17

Provider Mailing Address Detail

Address 100 W Griggs Ave
City Las Cruces
State New Mexico (NM)
Post Code 880011234
Phone Number 5756472800
Fax Number 5756472898

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 81351
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
18677037 NM --

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FAQs about Bryan W Hodges

What is the unique 10-digit identifier code issued to Bryan W Hodges by the Centers for Medicare & Medicaid Services?

The Bryan W Hodges has been assigned the NPI (National Provider Identifier) 1720205719 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Bryan W Hodges's facilities are situated?

The facilities of Bryan W Hodges are physically located at the following address: 100 W Griggs Ave, Las Cruces, NM, 880011234.

What is the Bryan W Hodges's area of specialization and corresponding taxonomy classification?

The Bryan W Hodges's specialty field is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1720205719 to Bryan W Hodges?

The Bryan W Hodges received its 1720205719 assignment from the Centers for Medicare & Medicaid Services on 2007-04-19.

When was the information pertaining to Bryan W Hodges most recently updated or revised?

The details related to Bryan W Hodges, including its address, specialty, and other relevant information, were last updated or revised on 2015-02-17.

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