Individual provider Active NPI

Evan Lee Hendriks, PA

  • Physician Assistant
  • Irving, TX
National Provider Identifier
1952825754
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15943 Issued in TX
Practice address
3014 N. O'Connor Rd.
Suite 200
Irving, TX 75062
Phone
(469) 648-2282
Fax
(682) 877-8701
NPI assigned
Aug 2, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA15943 TX Primary

Addresses

Primary practice location

3014 N. O'Connor Rd.
Suite 200
Irving, TX 75062

Mailing address

3014 N. O'Connor Rd.
Suite 200
Irving, TX 75062
Phone (469) 648-2282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220930002992 TX Practitioner - Physician Assistant 1951666239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctx3 PLLCGroup PAC ID 1355620055, 85 clinicians

Practice addresses (Care Compare)

1900 Matlock Rd
BLDG 1
Mansfield, TX 76063-4391
Phone (682) 628-0277

3014 N O Connor Rd
200 Direct Orthopedic Care
Irving, TX 75062-4415
Phone (469) 648-2282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
54889CAMDPharmacist
PA15943TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Doctx3 PLLC CurrentSince Sep 14, 2022 Accepting new patients
Doctx3 PLLC Past Accepting new patients

Locations

709 E Slaughter Ln
Ste 404
Austin, TX 78744
Phone (512) 277-6643

401 W Slaughter Ln
Ste 300
Austin, TX 78748
Phone (512) 277-6643

3110 Guadalupe St
Ste 100
Austin, TX 78705
Phone (512) 599-9510

3412 E Hebron Pkwy
Ste 106
Carrollton, TX 75010
Phone (469) 277-8253

12222 N Central Expy
Ste 130
Dallas, TX 75243
Phone (214) 265-3260

3100 Unicorn Lake Blvd
Ste 120
Denton, TX 76210
Phone (214) 444-5558

9500 Dallas Pkwy
Ste 100
Frisco, TX 75033
Phone (469) 535-6647

8501 Wade Blvd
Ste 630
Frisco, TX 75034
Phone (469) 717-0329

3014 N O Connor Rd
Ste 110
Irving, TX 75062
Phone (214) 277-3404

3014 N O Connor Rd
Ste 200
Irving, TX 75062
Phone (214) 444-5558

1900 Matlock Rd
Bldg 1
Mansfield, TX 76063
Phone (682) 628-0277

4600 Eldorado Pkwy
Ste 100
McKinney, TX 75070
Phone (972) 608-3855

2004 Ventura Dr
Ste 200
Plano, TX 75093
Phone (972) 499-5342

2000 S Interstate 35
Ste N5
Round Rock, TX 78681
Phone (512) 244-3822

2419 W Southlake Blvd
Ste 100
Southlake, TX 76092
Phone (469) 535-6842

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1952825754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 N. O'CONNOR RD.",
            "address_2": "SUITE 200",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75062",
            "telephone_number": "469-648-2282",
            "fax_number": "682-877-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 N. O'CONNOR RD.",
            "address_2": "SUITE 200",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75062",
            "telephone_number": "469-648-2282",
            "fax_number": "682-877-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRIKS",
        "first_name": "EVAN",
        "middle_name": "LEE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-02",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.