Individual
JOEL R HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
874 ED HALL DR STE 107, KAUFMAN, TX 75142-1800
(972) 932-5559
(972) 932-5581
Mailing address
874 ED HALL DR STE 107, KAUFMAN, TX 75142-1800
(972) 932-5559
(972) 932-5581
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G9596
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098847905
—
TX
01
—
8BW402
BCBS
TX
Enumeration date
01/25/2007
Last updated
08/10/2011
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