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NPI Code Detail

MEDICARE: MRS. COURTNEY RAMSEY HENDRICK

MEDICARE: MRS. COURTNEY RAMSEY HENDRICK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP129556TX

General Provider Information

NPI Number : 1366817686
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. COURTNEY RAMSEY HENDRICK
Provider Business Mailing Address
First Line : 809 SOUTH LAMAR BLVD.
Second Line : APT. 501
City : AUSTIN
State : TX
Zip : 78704
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5526 S CONGRESS AVE
Second Line :
City : AUSTIN
State : TX
Zip : 78745-3106
Country : US
Telephone Number : 512-517-9909
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2015
Last Update Date : 04/16/2018

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