Healthcare Provider Details

I. General information

NPI: 1275467409
Provider Name (Legal Business Name): LAUREN K HENDRIX
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 N STEMMONS FWY
DALLAS TX
75207-2700
US

IV. Provider business mailing address

1737 BOXWOOD LN
WYLIE TX
75098-8168
US

V. Phone/Fax

Practice location:
  • Phone: 469-856-8642
  • Fax: 214-456-6898
Mailing address:
  • Phone: 469-859-8642
  • Fax: 214-456-6898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number772019
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: