Active NPI
Hodges Dermatology, PLLC
- Dermatology Physician
- Plano, TX
National Provider Identifier
1003364712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- Q3692
- Legal business name
- HODGES DERMATOLOGY, PLLC
- Practice address
- 6100 Windhaven Pkwy
Plano, TX 75093-8046 - Phone
- (214) 615-1735
- Fax
- (214) 615-1800
- NPI assigned
- Sep 12, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leisa Lacombe Hodges, D.O.
- Title
- Dermatologist
- Phone
- (626) 215-0262
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Q3692 | TX | Primary |
Addresses
Primary practice location
6100 Windhaven Pkwy
Plano, TX 75093-8046
Mailing address
6100 Windhaven Pkwy
Plano, TX 75093-8046
Phone (214) 615-1735
Other names 1
- Hodges Dermatology, LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473638400000",
"number": "1003364712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 WINDHAVEN PKWY",
"city": "PLANO",
"state": "TX",
"postal_code": "750938046",
"telephone_number": "214-615-1735",
"fax_number": "214-615-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 WINDHAVEN PKWY",
"city": "PLANO",
"state": "TX",
"postal_code": "750938046",
"telephone_number": "214-615-1735",
"fax_number": "214-615-1800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HODGES DERMATOLOGY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-12",
"last_updated": "2016-09-12",
"status": "A",
"authorized_official_last_name": "HODGES",
"authorized_official_first_name": "LEISA",
"authorized_official_middle_name": "LACOMBE",
"authorized_official_title_or_position": "DERMATOLOGIST",
"authorized_official_telephone_number": "626-215-0262",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "TX",
"license": "Q3692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hodges Dermatology, LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.