Provider Demographics
NPI:1972590313
Name:HENDRYX, JOEL THOMAS (DO)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:THOMAS
Last Name:HENDRYX
Suffix:
Gender:M
Credentials:DO
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3270 JOE BATTLE BLVD
Mailing Address - Street 2:STE 275
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79938-2639
Mailing Address - Country:US
Mailing Address - Phone:915-595-1212
Mailing Address - Fax:915-595-1980
Practice Address - Street 1:3270 JOE BATTLE BLVD
Practice Address - Street 2:STE 275
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79938-2639
Practice Address - Country:US
Practice Address - Phone:915-595-1212
Practice Address - Fax:915-595-1980
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2017-04-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ0524207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX127415103Medicaid
TX127415103Medicaid