| Mrs Sophia Joellyn Hendrick, MD | |
|
2401 S 31st St, Temple, TX 76508 | |
| (254) 724-2111 | |
| Not Available |
| Full Name | Mrs Sophia Joellyn Hendrick |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Location | 2401 S 31st St, Temple, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396711248 | NPI | - | NPPES |
| 3026334 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | G2989 (Texas) | Primary |
| Entity Name | Knoxville Institute Of Dermatology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760673743 PECOS PAC ID: 7719072644 Enrollment ID: O20071005000780 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Sophia Joellyn Hendrick, MD Po Box 844658, Dallas, TX 75284-4658 Ph: () - | Mrs Sophia Joellyn Hendrick, MD 2401 S 31st St, Temple, TX 76508 Ph: (254) 724-2111 |
Dr. Mark Grogan Tusa, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 409 W Adams Ave, Temple, TX 76501 Phone: 254-742-3775 | |
Dr. David Ford Butler, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 409 W Adams Ave, Temple, TX 76501 Phone: 254-742-3775 | |
Natalie Brittan Lane, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Katelen Korty, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Imran T Baig, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2401 S 31st St # Ms 27104a, Temple, TX 76508 Phone: 254-724-6385 | |
Dr. Betsy J. Furukawa, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Christine Tran, PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St Bldg 27, Temple, TX 76508 Phone: 254-724-6300 |