| Marian Hendricks DO PA | |
|
5833 Spohn Dr Suite 601 Corpus Christi TX 78414-4136 | |
| (361) 985-1888 | |
| (361) 985-0594 |
| Full Name | Marian Hendricks DO PA |
|---|---|
| Speciality | Family Medicine |
| Location | 5833 Spohn Dr, Corpus Christi, Texas |
| Authorized Official Name and Position | Marian K. Hendricks (PRESIDENT) |
| Authorized Official Contact | 3619851888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marian Hendricks DO PA 5833 Spohn Dr Suite601 Corpus Christi TX 78414-4136 Ph: (361) 985-1888 | Marian Hendricks DO PA 5833 Spohn Dr Suite 601 Corpus Christi TX 78414-4136 Ph: (361) 985-1888 |
| NPI Number | 1447449012 |
|---|---|
| Provider Enumeration Date | 10/19/2007 |
| Last Update Date | 11/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447449012 | NPI | - | NPPES |
| 0089LB | Other | TX | BLUE CROSS BLUE SHIELD TX |
| 165589601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L2933 (Texas) | Primary |
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