Individual
CLIFFORD ALVA HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3434 PRYTANIA ST, SUITE 250, NEW ORLEANS, LA 70115-3532
(504) 891-1988
(504) 899-1895
Mailing address
3434 PRYTANIA ST, SUITE 250, NEW ORLEANS, LA 70115-3532
(504) 891-1988
(504) 899-1895
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
18445
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1378640
—
LA
01
—
CI2603
RAILROAD MEDICARE
LA
Enumeration date
06/07/2006
Last updated
01/31/2008
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