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GREAT LAKES HEALTH INC NPI 1285934638


NPI Information

NPI: 1285934638
Provider Name: GREAT LAKES HEALTH, INC

Doing Business As: THE HENDRIKZ CLINIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
9070 RESEARCH BLVD
STE. 105
AUSTIN, TX
ZIP 78758
Phone: (512) 454-2578
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GREAT LAKES HEALTH, INC is a clinic center in Austin, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). GREAT LAKES HEALTH, INC NPI is 1285934638. The provider is registered as an organization entity type.
The provider Is Doing Business As The Hendrikz Clinic.

The provider's business location address is:

9070 RESEARCH BLVD
STE. 105
AUSTIN, TX
ZIP 78758-004
Phone: (512) 454-2578
Fax: (512) 374-9911

The provider's authorized official is Earl F Hendrikz .
The authorized official title is President and has the following contact phone number (512) 579-9439.

The enumeration date for this NPI number is 11/1/2010 and was last updated on 11/1/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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