Organization
HCD- SPRING BRANCH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
21477 STATE HIGHWAY 46 W STE 101, SPRING BRANCH, TX 78070-6797
(830) 438-2121
Mailing address
21477 STATE HIGHWAY 46 W STE 105, SPRING BRANCH, TX 78070-6797
(830) 438-2121
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
03/19/2026
Last updated
05/07/2026
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