# HENDRIX MEDICAL SERVICES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HENDRIX MEDICAL SERVICES PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1023157682
- **Legal business name:** HENDRIX MEDICAL SERVICES PLLC
- **Authorized official:** DR. BARRY DEWANE HENDRIX M.D. (OWNER PHYSICIAN)
- **Authorized official phone:** (870) 236-7272

## Contact information

- **Practice address:** 2709 W KINGSHIGHWAY, SUITE 6, PARAGOULD, AR 72450-4141
- **Practice address phone:** (870) 236-7272
- **Practice address fax:** (870) 236-7275
- **Mailing address:** 2709 W KINGSHIGHWAY, SUITE 6, PARAGOULD, AR 72450-4141
- **Mailing address phone:** (870) 236-7272
- **Mailing address fax:** (870) 236-7275

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | E-0965 | AR | Yes |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 03/15/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 130230001 | — | AR |
| 01 | — | CI2041 | RAILROAD MEDICARE | AR |
