Provider Demographics
NPI:1124012067
Name:KENDRICK, ERNEST A (MD)
Entity Type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:A
Last Name:KENDRICK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ERNEST
Other - Middle Name:A
Other - Last Name:KENDRICK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD PA
Mailing Address - Street 1:1306 FM 1092 RD
Mailing Address - Street 2:STE 306
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-1564
Mailing Address - Country:US
Mailing Address - Phone:281-242-5814
Mailing Address - Fax:
Practice Address - Street 1:1306 FM 1092 RD
Practice Address - Street 2:STE 306
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-1564
Practice Address - Country:US
Practice Address - Phone:281-242-5814
Practice Address - Fax:281-242-6714
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-07
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.1320172084P0804X
TXG199352084P0804X
TXG19352084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry