Michael Bret Hendricks, MD
Anesthesiology in Tyler, TX. Individual provider (NPI-1).
NPI number1396785366
StatusActive
Last updated in NPPESOct 13, 2014
Details
- NPI
- 1396785366
- Entity type
- Individual (NPI-1)
- Name
- Michael Bret Hendricks
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 7, 2006
- Last updated
- Oct 13, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | J2070 | TX | Yes |
Practice location
800 E Dawson StTyler, TX 75701-2036
Phone 903-531-4500
Mailing address
Po Box 841656Dallas, TX 75284-1656
Phone 903-531-5000
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