Great Lakes Health, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GREAT LAKES HEALTH, INC

Practice address

9070 Research Blvd
Ste. 105
Austin, TX 78758-7004

Phone

(512) 454-2578

Fax

(512) 374-9911

NPI assigned

Nov 1, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Earl F Hendrikz, D.C.

Title

President

Phone

(512) 579-9439

Specialties & licenses 1

Addresses

Other names 1

• The Hendrikz Clinic Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1285934638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9070 RESEARCH BLVD",
            "address_2": "STE. 105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787587004",
            "telephone_number": "512-454-2578",
            "fax_number": "512-374-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9070 RESEARCH BLVD",
            "address_2": "STE. 105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787587004",
            "telephone_number": "512-454-2578",
            "fax_number": "512-374-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "HENDRIKZ",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-579-9439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Hendrikz Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.