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Individual

DR. MATTHEW LOCKE KENDRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7543 BOSQUE BLVD STE H, WACO, TX 76712-3774
(254) 753-2398
Mailing address
7543 BOSQUE BLVD STE H, WACO, TX 76712-3774

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD.32115
AL
2085R0202X
Diagnostic Radiology Physician
Primary
P0614
TX
2085R0204X
Vascular & Interventional Radiology Physician
042.0013591
VT
2085R0204X
Vascular & Interventional Radiology Physician
P0614
TX

Other

Enumeration date
08/10/2010
Last updated
03/13/2017
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