Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SAMUEL B HENDERSON, SA-C
Active Sole ProprietorMR. SAMUEL B HENDERSON, SA-C is a Surgical Physician Assistant healthcare provider located in CONVERSE, Texas. NPI 1578787792 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · CONVERSE, TX
Registration Details
- NPI Number
- 1578787792
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 11, 2007 (19.329010480173 yrs)
- Last Updated
- Jul 6, 2023
- Licenses
-
10-143 (TX)10-143 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5918 DEWDROP LANECONVERSE, TX, 78109Browse TX providers · Browse ZIP 78109
- Phone
- 8307342689
- Fax
- 2104753995
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.