Individual
STEPHEN MICHAEL HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 743-0936
(210) 949-3006
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 743-0936
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP129541
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
354852101
—
TX
01
—
354852102
CSHCN
TX
Enumeration date
01/26/2016
Last updated
03/30/2016
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