Provider Demographics
NPI:1962696906
Name:HENDRICKS, KAREN BURNETT (PA-C)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:BURNETT
Last Name:HENDRICKS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:5222 BURNET RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78756-2430
Mailing Address - Country:US
Mailing Address - Phone:512-459-9889
Mailing Address - Fax:512-459-7373
Practice Address - Street 1:5222 BURNET RD
Practice Address - Street 2:SUITE 200
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78756-2430
Practice Address - Country:US
Practice Address - Phone:512-459-9889
Practice Address - Fax:512-459-7373
Is Sole Proprietor?:No
Enumeration Date:2007-09-04
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA00663363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant