David Kendrick
Physician Assistant, Medical in Temple, TX. Individual provider (NPI-1).
NPI number1154576320
StatusActive
Last updated in NPPESNov 3, 2021
Details
- NPI
- 1154576320
- Entity type
- Individual (NPI-1)
- Name
- David Kendrick
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 1, 2008
- Certification date
- Nov 3, 2021
- Last updated
- Nov 3, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | – | – | Yes |
Practice location
2401 S 31st StTemple, TX 76508-0001
Phone 254-724-2111
Mailing address
5720 Forest Park RdApt # 3413
Dallas, TX 75235-6420
Phone 936-635-9804
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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