Individual
DR. GORDON C. HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D., M.S.
Contact information
Practice address
5001 N PIEDRAS ST, EL PASO, TX 79930-4210
(915) 564-6116
Mailing address
1024 CALLE MILAGRO DR, EL PASO, TX 79912-7520
(915) 842-9606
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4814TG
TX
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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