Individual
DR. TINA M HENDRIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19829 N 27TH AVE, PHOENIX, AZ 85027-4001
(623) 879-5720
Mailing address
PO BOX 27340, PHOENIX, AZ 85061-7340
(602) 943-9200
(602) 216-3000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35150
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z7086
HEALTH NET OF AZ
AZ
01
—
AZ0221810
BCBSAZ
AZ
Enumeration date
05/08/2006
Last updated
05/14/2008
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