Samuel A Henderson in Longview - Dermatopathology
Samuel A Henderson - NPI 1174782353
Samuel A Henderson is a Dermatopathology in Longview, Texas. Samuel A Henderson practices all healthcare services and medical treatments related to Dermatopathology. The NPI Number for Samuel A Henderson is 1174782353. The last update date is 2018-02-21.
Samuel A Henderson's current location address is 707 Hollybrook Dr, Longview, Texas. You can contact this provider via phone number 9037576042 and fax number 9032328226. The mailing address for Samuel A Henderson is 707 Hollybrook Dr, Longview, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel A Henderson |
|---|---|
| Address | 707 Hollybrook Dr, Longview, Texas |
| Phone Number | 9037576042 |
| Fax Number | 9032328226 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1174782353 |
|---|---|
| Provider Enumeration Date | 2008-06-03 |
| Last Updated Date | 2018-02-21 |
Provider Mailing Address Detail
| Address | 707 Hollybrook Dr |
|---|---|
| City | Longview |
| State | Texas (TX) |
| Post Code | 756052410 |
| Phone Number | 9037576042 |
| Fax Number | 9032328226 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatopathology |
|---|---|
| Taxonomy | 207Zd0900X |
| Licence No | P2668 |
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Definition: A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellu |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 350346803 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Samuel A Henderson?
The Samuel A Henderson has been issued the NPI (National Provider Identifier) 1174782353 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Samuel A Henderson?
The Samuel A Henderson is physically situated at 707 Hollybrook Dr, in the city of Longview, state of TX, with the postal code 756052410.
What is the area of specialization for Samuel A Henderson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Samuel A Henderson is Dermatopathology, and the corresponding taxonomy code that categorizes this area of expertise is 207Zd0900X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1174782353 to Samuel A Henderson?
The Centers for Medicare & Medicaid Services originally issued the 1174782353 to Samuel A Henderson on 2008-06-03.
As of what date were the Samuel A Henderson's details last updated?
The information pertaining to the Samuel A Henderson, including its address, specialty, and other details, was most recently updated on 2018-02-21.