Organization
HENDRICK PROVIDER NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID STEPHENSON (HENDRICK PROVIDER NETWORK ADMIN)
(325) 670-6340
Entity
Organization
Contact information
Practice address
2000 PINE ST, ABILENE, TX 79601-2434
(325) 670-6340
Mailing address
2000 PINE ST, ABILENE, TX 79601-2434
(325) 670-6340
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
647404
TX
302R00000X
Health Maintenance Organization
Primary
647404
TX
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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