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Individual

GEORGE DAVID HENDRICKS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1201 SUMMIT AVE, FORT WORTH, TX 76102-4427
(817) 332-2020
(817) 332-4797
Mailing address
1201 SUMMIT AVE, FORT WORTH, TX 76102-4427
(817) 332-2020
(817) 332-4797

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
F6734
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
135564601
TX
05
135564603
TX
01
88Z910
BCBS
TX
Enumeration date
06/24/2005
Last updated
05/13/2014
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