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General NPI Number Information
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NPI Number | 1932187291
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Entity Type | Organization
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Legal Business Name | HENDRICK SOUTHWESTERN HEALTH DEVELOPMENT CORPORATION
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Dates
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Enumeration Date | 01/06/2006
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 2371 CROCKETT DR STE 101
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City | BROWNWOOD
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State | TX
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Zip | 76801-5991
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Country | US
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Telephone | 325-203-5130
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Fax | 325-455-2288
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Provider Business Mailing Address
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Address Line | PO BOX 115
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City | ABILENE
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State | TX
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Zip | 79604
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Country | US
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Telephone | 325-673-3711
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Fax | 325-673-4639
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. PAM MCELRATH
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Credential |
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Telephone | 325-670-6988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | BEDDING 90939
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 0030934
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 0030934
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0030934
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License Number State | TX
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