MR. SAMUEL B HENDERSON SA-C NPI 1578787792

NPI Information

  • NPI: 1578787792
  • Provider Name: MR. SAMUEL B HENDERSON, SA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • Address: 5918 DEWDROP LANE
    CONVERSE, TX
    ZIP 78109
  • Phone: (830) 734-2689

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NPI Details

MR. Samuel B Henderson, SA-C is a surgical physician assistant in Converse, TX. MR. Samuel B Henderson, SA-C NPI is 1578787792. 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:

5918 DEWDROP LANE
CONVERSE, TX
ZIP 78109
Phone: (830) 734-2689
Fax: (210) 475-3995

The enumeration date for this NPI number is 4/11/2007 and was last updated on 7/6/2023.

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
1246ZC0007XSpecialist/Technologist, OtherSurgical Assistant10-143TEXASNo
2363AS0400XPhysician AssistantSurgical10-143TEXASYes

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: 3/30/2025

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