Organization
HENDRICK MEDICAL CENTER
Active
Other names
HENDRICK MEDICAL CENTER PHYSICIANS
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN KIMMEL (CEO)
(325) 670-2000
Entity
Organization
Contact information
Practice address
1900 PINE ST, ABILENE, TX 79601-2432
(325) 670-4038
Mailing address
PO BOX 1198, ABILENE, TX 79604-1198
(325) 670-4038
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A60W
BLUECROSS BLUE SHEILD
TX
05
—
138644303
—
TX
Enumeration date
06/24/2005
Last updated
05/03/2013
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