ERNEST A KENDRICK, M.D., PA
Managed Care Organizations at Main St, Stafford, TX

License number
Texas G1935
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: MRS. DOMINIQUE A MAYES
Title: OFFICE MANAGER
Phone: (281) 330-8519
Address
Address
4915 S Main St SUITE 108, Stafford, TX 77477
National Provider ID: 1689095291
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ERNEST A. KENDRICK, M.D., PA

4915 S Main St STE 108, Stafford, TX 77477

Doing business as:
Ernest A. Kendrick, M.D., PA
Registration:
Dec 29, 2008
State ID:
0801067947
Business type:
Professional Association
Director, Member, President:
Ernest A. Kendrick (Director, Member, President)
Agent:
Ernest Allan Kendrick,4915 S Main St STE 108, Stafford, TX 77477 (Physical)
TIN:
32038584408

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