Individual
MRS. SOPHIA JOELLYN HENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G2989
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3026334
—
TN
Enumeration date
02/28/2006
Last updated
07/01/2019
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