SAMUEL A HENDERSON MD NPI 1174782353

NPI Information

  • NPI: 1174782353
  • Provider Name: SAMUEL A HENDERSON, MD
  • Classification: Pathology - 207ZP0102X
  • Specialization: Anatomic Pathology & Clinical Pathology
  • Entity Type: Individual
  • Address: 707 HOLLYBROOK DR
    LONGVIEW, TX
    ZIP 75605
  • Phone: (903) 757-6042

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NPI Details

Samuel A Henderson, MD is an anatomic pathology and clinical pathology pathology in Longview, TX. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. Samuel A Henderson, MD NPI is 1174782353. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

707 HOLLYBROOK DR
LONGVIEW, TX
ZIP 75605-410
Phone: (903) 757-6042
Fax: (903) 232-8226

The enumeration date for this NPI number is 6/3/2008 and was last updated on 2/21/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZD0900XPathologyDermatopathologyP2668TEXASNo
2207ZP0102XPathologyAnatomic Pathology & Clinical Pathology206777LOUISIANANo
3207ZP0102XPathologyAnatomic Pathology & Clinical PathologyP2668TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1350346803MEDICAIDTEXAS

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: 11/21/2025

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