Individual
RICKY DALE HENDRIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 4TH ST STE 5A, ALEXANDRIA, LA 71301-8421
(318) 483-1961
(318) 483-1964
Mailing address
PO BOX 1334, WINNFIELD, LA 71483-1334
(318) 628-5565
(318) 628-5950
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD.016338
LA
207RN0300X
Nephrology Physician
MD.016338
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1348732
—
LA
Enumeration date
05/23/2005
Last updated
04/19/2024
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