Provider Demographics
NPI:1598887325
Name:HENDRY, MARK TERRELL (DC)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:TERRELL
Last Name:HENDRY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:9525 KATY FWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1407
Mailing Address - Country:US
Mailing Address - Phone:713-932-6384
Mailing Address - Fax:713-465-7708
Practice Address - Street 1:9525 KATY FWY
Practice Address - Street 2:SUITE 101
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1407
Practice Address - Country:US
Practice Address - Phone:713-932-6384
Practice Address - Fax:713-465-7708
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2011-03-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX5856111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX605151Medicare UPIN