Provider Demographics
NPI:1598998643
Name:HENDRIX, TERESA HELEN (RN, BSM, MS, PHD, CN)
Entity Type:Individual
Prefix:DR
First Name:TERESA
Middle Name:HELEN
Last Name:HENDRIX
Suffix:
Gender:F
Credentials:RN, BSM, MS, PHD, CN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CARL R. DARNALL ARMY MEDICAL CENTER
Mailing Address - Street 2:DARNALL LOOP
Mailing Address - City:FORT HOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76544
Mailing Address - Country:US
Mailing Address - Phone:254-286-7500
Mailing Address - Fax:
Practice Address - Street 1:5310 COUNTY ROAD 200
Practice Address - Street 2:
Practice Address - City:LIBERTY HILL
Practice Address - State:TX
Practice Address - Zip Code:78642-3720
Practice Address - Country:US
Practice Address - Phone:512-778-9393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-24
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30005840367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife