Provider Demographics
NPI:1114452927
Name:KENDRICK, ZACHARY W (MD)
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:W
Last Name:KENDRICK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7703 FLOYD CURL DR # MC7977
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3901
Mailing Address - Country:US
Mailing Address - Phone:210-358-2078
Mailing Address - Fax:210-358-1972
Practice Address - Street 1:4502 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4402
Practice Address - Country:US
Practice Address - Phone:210-358-2078
Practice Address - Fax:210-358-1972
Is Sole Proprietor?:No
Enumeration Date:2017-04-30
Last Update Date:2020-07-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXS1149207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX403540403Medicaid
TX403540404OtherCSHCN