| Ma Hendrickson Do Pa | |
|
4109 Cagle Dr Suite B North Richland Hills TX 76180-8339 | |
| (817) 284-4081 | |
| (817) 284-3988 |
| Full Name | Ma Hendrickson Do Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 4109 Cagle Dr, North Richland Hills, Texas |
| Authorized Official Name and Position | M Allison Hendrickson (OWNER) |
| Authorized Official Contact | 8172844081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ma Hendrickson Do Pa 4109 Cagle Dr Suite B North Richland Hills TX 76180-8339 Ph: (817) 284-4081 | Ma Hendrickson Do Pa 4109 Cagle Dr Suite B North Richland Hills TX 76180-8339 Ph: (817) 284-4081 |
| NPI Number | 1588615223 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 08/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588615223 | NPI | - | NPPES |
| 0064MA | Other | TX | BCBS GROUP NUMBER |
| 110208679 | Other | MEDICARE RR GROUP NUMBER | |
| 172016101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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