Lyle Martin Hodge in Duncanville - Sports Physician
Lyle Martin Hodge - NPI 1316064900
Lyle Martin Hodge is a Sports Physician in Duncanville, Texas. Lyle Martin Hodge practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Lyle Martin Hodge is 1316064900. The last update date is 2020-05-01.
Lyle Martin Hodge's current location address is 223 W Wintergreen Rd, Duncanville, Texas. You can contact this provider via phone number 4693237322. The mailing address for Lyle Martin Hodge is 223 W Wintergreen Rd, Duncanville, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lyle Martin Hodge |
|---|---|
| Address | 223 W Wintergreen Rd, Duncanville, Texas |
| Phone Number | 4693237322 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1316064900 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2020-05-01 |
Provider Mailing Address Detail
| Address | 223 W Wintergreen Rd |
|---|---|
| City | Duncanville |
| State | Texas (TX) |
| Post Code | 751374423 |
| Phone Number | 4693237322 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 3029 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0012650-01 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Lyle Martin Hodge by the Centers for Medicare & Medicaid Services?
The Lyle Martin Hodge has been assigned the NPI (National Provider Identifier) 1316064900 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Lyle Martin Hodge is physically located?
The Lyle Martin Hodge is physically situated at the following address: 223 W Wintergreen Rd, Duncanville, TX, 751374423.
What is the area of specialization for Lyle Martin Hodge, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lyle Martin Hodge is Sports Physician, and the corresponding taxonomy code that categorizes this area of expertise is 111Ns0005X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1316064900 to Lyle Martin Hodge?
The Centers for Medicare & Medicaid Services originally issued the 1316064900 to Lyle Martin Hodge on 2007-03-26.
When was the information pertaining to Lyle Martin Hodge most recently updated or revised?
The details related to Lyle Martin Hodge, including its address, specialty, and other relevant information, were last updated or revised on 2020-05-01.