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Individual

MR. SAMUEL B HENDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
SA-C

Contact information

Practice address
5918 DEWDROP LANE, CONVERSE, TX 78109
(830) 734-2689
(210) 475-3995
Mailing address
5918 DEWDROP LANE, CONVERSE, TX 78109
(830) 734-2689
(210) 475-3995

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
10-143
TX
363AS0400X
Surgical Physician Assistant
Primary
10-143
TX

Other

Enumeration date
04/11/2007
Last updated
07/06/2023
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