Samuel A Henderson, MD

NPI #1174782353 in Longview, Texas

Provider Information

NPI Number: 1174782353
Entity Type: Individual
Name: Samuel A Henderson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pathology - Dermatopathology
Credential: MD
Enumeration Date: Jun 3, 2008
Last Updated: Feb 21, 2018

Practice Location

Address: 707 HOLLYBROOK DR
City: Longview
State: Texas
ZIP Code: 75605-2410
Phone: (903) 757-6042

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pathology - Dermatopathology — Dermatopathology	207ZD0900X	Primary
Pathology - Anatomic Pathology & Clinical Pathology — Anatomic Pathology & Clinical Pathology	207ZP0102X

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