Provider Demographics
NPI:1306941125
Name:BENDIKS, JEAN S (DC)
Entity type:Individual
Prefix:
First Name:JEAN
Middle Name:S
Last Name:BENDIKS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5111 N 10TH ST
Mailing Address - Street 2:# 346
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2835
Mailing Address - Country:US
Mailing Address - Phone:956-440-7336
Mailing Address - Fax:956-230-0940
Practice Address - Street 1:1214 DIXIELAND RD
Practice Address - Street 2:SUITE 8
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78552-3351
Practice Address - Country:US
Practice Address - Phone:956-440-7336
Practice Address - Fax:956-230-0940
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2923111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T12166Medicare UPIN
TX609821Medicare ID - Type Unspecified