Provider Demographics
NPI:1073013850
Name:HENDRY, ANDREW CHRISTOPHER I
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:CHRISTOPHER
Last Name:HENDRY
Suffix:I
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 CARROLL AVE
Mailing Address - Street 2:
Mailing Address - City:SPUR
Mailing Address - State:TX
Mailing Address - Zip Code:79370-2356
Mailing Address - Country:US
Mailing Address - Phone:806-773-1594
Mailing Address - Fax:
Practice Address - Street 1:413 CARROLL AVE
Practice Address - Street 2:
Practice Address - City:SPUR
Practice Address - State:TX
Practice Address - Zip Code:79370-2356
Practice Address - Country:US
Practice Address - Phone:806-773-1594
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-18
Last Update Date:2018-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant