Individual
THOMAS JEFFREY HENDRIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 N MADISON AVE, ANDERSON, IN 46011-3453
(765) 298-4242
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01068401A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000839618
ANTHEM
IN
05
—
200985530
—
IN
01
—
P01291570
RAILROAD MEDICARE
IN
Enumeration date
05/06/2008
Last updated
04/14/2017
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