Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 51916 | TN |
N | 2086X0206X | Surgical Oncologist | P5989 | TX |
NPI | 1457524209 |
---|---|
Provider Name | Ashley Allen Hendrix |
First Address | Memphis, TN 38148-0001 |
Second Address | Memphis, TN 38104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2008 |
Last Update Date | 22/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q009015 | (05) | TN |