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Individual

DR. BARRY DEWANE HENDRIX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2709 W KINGSHIGHWAY, SUITE 6, PARAGOULD, AR 72450-2604
(870) 236-7272
(870) 236-7275
Mailing address
2709 W KINGSHIGHWAY, SUITE 6, PARAGOULD, AR 72450-2604
(870) 236-7272
(870) 236-7275

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E0965
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080127350
RAILROAD MEDICARE
AR
05
130230001
AR
Enumeration date
11/03/2006
Last updated
03/15/2017
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