Organization
HENDRICK PROVIDER NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE PEARSON (VP REGIONAL SERVICES)
(325) 670-7106
Entity
Organization
Contact information
Practice address
1904 PINE ST, SUITE 200, ABILENE, TX 79601-2344
(325) 670-4220
Mailing address
PO BOX 1198, ABILENE, TX 79604-1198
(325) 670-4220
(325) 672-8292
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060AE
BLUE CROSS BLUE SHIELD
TX
05
—
080866901
—
TX
Enumeration date
04/18/2007
Last updated
03/12/2013
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