Organization
HENDRIX MEDICAL SERVICES PLLC
Active
Parent organization
HENDRIX MEDICAL SERVICES PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HENDRIX MEDICAL SERVICES PLLC
Authorized official
DR. BARRY DEWANE HENDRIX M.D. (OWNER PHYSICIAN)
(870) 236-7272
Entity
Organization
Contact information
Practice address
2709 W KINGSHIGHWAY, SUITE 6, PARAGOULD, AR 72450-4141
(870) 236-7272
(870) 236-7275
Mailing address
2709 W KINGSHIGHWAY, SUITE 6, PARAGOULD, AR 72450-4141
(870) 236-7272
(870) 236-7275
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-0965
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130230001
—
AR
01
—
CI2041
RAILROAD MEDICARE
AR
Enumeration date
02/06/2007
Last updated
03/15/2017
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