Individual ProviderUlton G HodginInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address5901 Harper Dr NE, Albuquerque, NM 87109-3587(505) 823-8888(505) 923-5356PECOS EnrollmentBased on the most recent information from CMS, provider Ulton G Hodgin 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 5 days ago.Profile DetailsProvider ID1174673719Provider TypeIndividualFull NameHodgin, Ulton GCredentialMDGenderMaleSole ProprietorNoEnumeration Date1/12/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address5901 Harper Dr NE, Albuquerque, NM 87109-3587Phone(505) 823-8888Fax(505) 823-8275Mailing LocationMailing AddressPO Box 26666, Provider Enrollment, Albuquerque, NM 87125-6666Phone(505) 923-5356Fax(505) 923-5354Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense65-36New MexicoProvider IdentifiersIDDescriptionIssuerIDPENDINGDescriptionMedicaidIssuerUnlistedNew Mexico