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Organization
MARIAN HENDRICKS DO PA
Active
Organization
MARIAN HENDRICKS DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIAN K. HENDRICKS DO (PRESIDENT)
(361) 985-1888
Entity
Organization
Contact information
Practice address
5833 SPOHN DR, SUITE 601, CORPUS CHRISTI, TX 78414-4136
(361) 985-1888
(361) 985-0594
Mailing address
5833 SPOHN DR, SUITE601, CORPUS CHRISTI, TX 78414-4136
(361) 985-1888
(361) 985-0594
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L2933
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0089LB
BLUE CROSS BLUE SHIELD TX
TX
05
—
165589601
—
TX
Enumeration date
10/19/2007
Last updated
11/11/2008
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