Organization
OPHTHALMIC PARTNERS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HENDRICKS MD (PRESIDENT)
(817) 332-2020
Entity
Organization
Contact information
Practice address
2625 BOLTON BOONE DR, DESOTO, TX 75115-2011
(972) 283-1516
(972) 283-1448
Mailing address
PO BOX 911791, DALLAS, TX 75391-1791
(972) 791-1224
(877) 594-5434
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1373466 10
—
TX
Enumeration date
09/15/2006
Last updated
03/18/2008
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