Marian Hendricks DO PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L2933 Issued in TX

Legal business name

MARIAN HENDRICKS DO PA

Practice address

5833 Spohn Dr
Suite 601
Corpus Christi, TX 78414-4136

Phone

(361) 985-1888

Fax

(361) 985-0594

NPI assigned

Oct 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Marian K. Hendricks, DONPI 1114915451

Title

President

Phone

(361) 985-1888

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marian K Hendricks, D.O.

  • Family Medicine Physician
  • Corpus Christi, TX
  • NPI 1114915451
  NPD (past) Authorized official
• Husna Iqbal

  • Family Medicine Physician
  • Desoto, TX
  • NPI 1427098946
  NPD (past)

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1447449012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5833 SPOHN DR",
            "address_2": "SUITE601",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144136",
            "telephone_number": "361-985-1888",
            "fax_number": "361-985-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5833 SPOHN DR",
            "address_2": "SUITE 601",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144136",
            "telephone_number": "361-985-1888",
            "fax_number": "361-985-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAN HENDRICKS DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-985-1888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L2933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TX",
            "identifier": "0089LB",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165589601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann E Marchetta, NP
• Kevin S Marcum, P.A.-C.
• Dominique Anthony Mares, CSFA
• Jenna Mares
• Maria Luisa Lira MD PA
• Luisa Marin Cunha, MD
• Lisa Marie Marin
• Manuel Jose Marin, MD
• Mario a. Quintanilla MD, PLLC
• Brandy Rae Marion, LMT

• Family Medicine Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; 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.