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Organization

HENDRIX MEDICAL SERVICES, P.L.L.C.

Active
Parent organization
HENDRIX MEDICAL SERVICES, P.L.L.C.
Other names
Paragould Allergy & Wellness Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
HENDRIX MEDICAL SERVICES, P.L.L.C.
Authorized official
DR. LISA MICHELLE HENDRIX M.D. (PHYSICIAN)
(870) 236-3388
Entity
Organization

Contact information

Practice address
2709 W KINGSHIGHWAY, SUITE 8, PARAGOULD, AR 72450-4141
(870) 236-3388
(870) 236-2656
Mailing address
2709 W KINGSHIGHWAY, SUITE 8, PARAGOULD, AR 72450-4141
(870) 236-3388
(870) 236-2656

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
E-0966
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CI2041
RAILROAD MEDICARE
AR
Enumeration date
02/12/2007
Last updated
11/14/2007
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