Clayton Hodge, PA-C
Physician Assistant in Fort Cavazos, TX. Individual provider (NPI-1).
NPI number1609406016
StatusActive
Last updated in NPPESDec 16, 2024
Details
- NPI
- 1609406016
- Entity type
- Individual (NPI-1)
- Name
- Clayton Hodge
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 24, 2020
- Certification date
- Dec 12, 2024
- Last updated
- Dec 16, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA14922 | TX | Yes |
| 363A00000X | Physician Assistant | 1165012 | MO |
Practice location
590 Medical Center RoadFort Cavazos, TX 76544-5060
Phone 254-288-8000
Mailing address
2925 Briarpark Dr Ste 575Houston, TX 77042-3776
Phone 832-626-2842
Other practice locations
3221 Red River St
Austin, TX 78705-2612
Austin, TX 78705-2612
Phone 281-783-8162
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 36 Physician Assistant providers in Fort Cavazos · All 385 providers in Fort Cavazos
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