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Dr. Theodric Blue Hendrix JR., MD
Obstetrics Physician in Beverly Hills, California
NPI 1528138294

Theodric Blue Hendrix JR. is a Obstetrics Physician based in Beverly Hills, CA and is specialized in Obstetrics. Theodric Blue Hendrix JR. practices in Beverly Hills, CA and has the professional credentials of MD. The NPI Number for Theodric Blue Hendrix JR. is 1528138294 and holds a License No. A29978 (California).

The current practice location address for Theodric Blue Hendrix JR. is 450 N Roxbury Dr, Beverly Hills, CA and can be reached out via phone at 310-652-3570 and via fax at 310-388-0157.

Location: 450 N Roxbury Dr, Beverly Hills, CA, 90210-4231
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528138294
Provider Name
Theodric Blue Hendrix JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
450 N Roxbury Dr, Beverly Hills, CA, 90210-4231
Phone Number
310-652-3570
Fax Number
310-388-0157
Provider Enumeration Date
11/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A299780 01 CA BLUE SHIELD PROVIDER #
institution
Provider Business Practice Location Address Details
Address
450 N Roxbury Dr
City
Beverly Hills
State
California
Zip
90210-4231
Phone Number
310-652-3570
Fax Number
310-388-0157
person
Provider Business Mailing Address Details
Address
450 N Roxbury Dr
City
Beverly Hills
State
California
Zip
90210-4231
Phone Number
310-652-3570
Fax Number
310-388-0157
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A29978 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
207VX0000X
License No.
A29978 (California)
Definition
Definition to come...
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