Individual ProviderMary Creager HodgkinsonPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2806 N Navarro St, Suite K, Victoria, TX 77901-3937(361) 582-4667PECOS EnrollmentBased on the most recent information from CMS, provider Mary Creager Hodgkinson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1154451029Provider TypeIndividualFull NameHodgkinson, Mary CreagerTitleMs.CredentialL.P.T.GenderFemaleSole ProprietorNoEnumeration Date3/7/2007Last Updated7/9/2007Contact InformationPractice LocationPractice Address2806 N Navarro St, Suite K, Victoria, TX 77901-3937Phone(361) 582-4667Fax(367) 582-4787Mailing LocationMailing Address2806 N Navarro St, Suite K, Victoria, TX 77901-3918Phone(361) 582-4667Fax(367) 582-4787Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1040434TexasProvider IdentifiersIDDescriptionIssuerID82454TDescriptionOtherIssuerBLUE CROSS BLUE SHIELDTexasID0054256DescriptionOtherIssuerBLUELINKTexasID4411879DescriptionOtherIssuerAETNATexas