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Individual
MARIAN K HENDRICKS
Active
Individual
MARIAN K HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
L2933
TX
207Q00000X
Family Medicine Physician
Primary
L2933
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00K51Q
BCBS GROUP/COAST. BND FAM
TX
05
—
157055804
—
TX
05
—
157055807
—
TX
05
—
157055808
—
TX
01
—
1L5763
MEDICARE
TX
01
—
8G1442
BCBS
TX
01
—
P02601766
MCRR
TX
Enumeration date
10/11/2005
Last updated
04/09/2021
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