Provider Demographics
NPI:1447332283
Name:HODGE MACDUFF, JULIE T (MD)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:T
Last Name:HODGE MACDUFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4455 TWIN POST RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75244-6746
Mailing Address - Country:US
Mailing Address - Phone:214-202-8702
Mailing Address - Fax:
Practice Address - Street 1:4455 TWIN POST RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75244-6746
Practice Address - Country:US
Practice Address - Phone:214-202-8702
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2019-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH6291208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX816665OtherFIRSTHEALTH PIN
TX00U87ZOtherBCBSTX GRP PIN
TX2002468OtherUHC PIN
TX042156201Medicaid
TX3809214OtherCIGNA PIN
TX140442884Medicaid
TX5122720OtherAETNA PIN
TX8A5660OtherBCBSTX IND PIN
1750369203OtherGRP NPI NUMBER
TX143298100OtherFIRSTCARE PIN
TX9052067OtherPHCS PIN
TX137072808Medicaid
TX816665OtherFIRSTHEALTH PIN
TX3809214OtherCIGNA PIN
TX137072808Medicaid