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NPI Code Detail

MEDICARE: HENDRICK ANESTHESIA NETWORK

MEDICARE: HENDRICK ANESTHESIA NETWORK
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
1174400000XSpecialistTX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851394993
Entity Type Code : Organization
Provider Name (Legal Business Name) : HENDRICK ANESTHESIA NETWORK
Provider Business Mailing Address
First Line : PO BOX 975503
Second Line :
City : DALLAS
State : TX
Zip : 75397-5503
Country : US
Telephone Number : 325-670-4220
Fax Number : 325-672-8292
Provider Business Practice Location Address
First Line : 1900 PINE ST
Second Line :
City : ABILENE
State : TX
Zip : 79601-2432
Country : US
Telephone Number : 325-670-4220
Fax Number : 325-672-8292
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. KARI POLK
Credential :
Telephone Number : 325-670-4393
Provider Enumeration Date : 05/23/2005
Last Update Date : 07/21/2022

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Directions to “HENDRICK ANESTHESIA NETWORK ” Practice Location

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