Organization
TWIN CITY ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT S HENDRICK JR. M.D. (PRESIDENT)
(318) 329-4200
Entity
Organization
Contact information
Practice address
503 MCMILLAN RD, WEST MONROE, LA 71291-5327
(318) 329-4200
Mailing address
925 SHERWOOD DR, LAKE BLUFF, IL 60044-2203
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026778
—
LA
Enumeration date
04/23/2007
Last updated
08/13/2007
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