| NPI | 1578787792 |
|---|---|
| Other Name | SAMUEL B HENDERSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX 10-143) |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX 10-143) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2023-07-06 |