Provider Demographics
NPI:1508512690
Name:HENDON, DARA
Entity Type:Individual
Prefix:
First Name:DARA
Middle Name:
Last Name:HENDON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 140081
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78714-0081
Mailing Address - Country:US
Mailing Address - Phone:512-337-6685
Mailing Address - Fax:
Practice Address - Street 1:7006 KILDARE CV
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78724-3654
Practice Address - Country:US
Practice Address - Phone:512-337-6685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-27
Last Update Date:2022-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical