Active NPI
Ralph Gail Hodges, M.D.
- Psychiatry Physician
- San Angelo, TX
National Provider Identifier
1093807349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C6363
- Practice address
- 1636 Hunters Glen Rd
San Angelo, TX 76901-5008 - Phone
- (325) 949-5722
- Fax
- (325) 942-1482
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | C6363 | TX | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | C6363 | TX |
Addresses
Primary practice location
1636 Hunters Glen Rd
San Angelo, TX 76901-5008
Mailing address
PO Box 61043
San Angelo, TX 76906-1043
Phone (325) 949-4545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A002 | Other | TX | CHAMPUS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C6363 | TX | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187740800000",
"number": "1093807349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 61043",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769061043",
"telephone_number": "325-949-4545",
"fax_number": "325-942-1482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1636 HUNTERS GLEN RD",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769015008",
"telephone_number": "325-949-5722",
"fax_number": "325-942-1482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGES",
"first_name": "RALPH",
"middle_name": "GAIL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2007-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "C6363",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "TX",
"license": "C6363",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "A002",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Angelo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.