NPI
Samuel A Henderson
NPI 1174782353
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- MD
- Type
- Individual
- Enumeration date
- 2008-06-03
- Last updated
- 2018-02-21
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Specialties
Licenses
- License TX
- P2668
- License LA
- 206777
Location
- Practice location
- 707 Hollybrook Dr
- City
- Longview TX
- Postal code
- 75605-2410
- Phone
- (903) 757-6042
- Fax
- (903) 232-8226
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Pathologists in Longview, TX. 11 with this primary taxonomy in the public file.
Other NPIs in Longview, TX. 2,893 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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