# RICHARD E HENDRIX, MD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hendrix Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417173840
- **Authorized official:** MRS. STEPHANIE L HENDRIX (OFFICE MANAGER)
- **Authorized official phone:** (928) 788-1900

## Contact information

- **Practice address:** 1611 JOY LN, FORT MOHAVE, AZ 86426-8807
- **Practice address phone:** (928) 788-1900
- **Practice address fax:** (928) 788-2048
- **Mailing address:** 4825 S HIGHWAY 95, SUITE 5 \#503, FORT MOHAVE, AZ 86426-8315
- **Mailing address phone:** (928) 788-1900
- **Mailing address fax:** (928) 788-2048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/17/2007
- **Last updated:** 08/22/2020