Henderson, Samuel A
Henderson, Samuel A is an individual health care provider with primary practice located at 707 Hollybrook Dr , Longview TX 75605-2410. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Henderson, Samuel A can be contacted via phone (903) 757-6042.Contact Information
Primary practice address
707 Hollybrook Dr
Longview TX 75605-2410
Phone: (903) 757-6042
Fax: (903) 232-8226
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | P2668 | Texas |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 206777 | Louisiana |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | P2668 | Texas |
Profile Details
| NPI number | 1174782353 |
|---|---|
| LBN Legal business name | Henderson, Samuel A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2008 |
| Last updated | Feb 21st, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174782353 | NPPES |
| Texas | MEDICAID | 350346803 |
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