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WHITNEY FAMILY MEDICINE
NPI 1366862310
Family Medicine in Whitney, TX

Active since April 17, 2014CLIA 45D2079649 · Microscopy
1314 N BRAZOS ST, WHITNEY, TX 76692(254) 694-3621(254) 694-7436 Get Directions Write a Review

NPPES record last updated: April 24, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Whitney Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHITNEY FAMILY MEDICINE (NPI 1366862310) is a healthcare organization registered as a family medicine in Whitney, Texas and active in the NPI registry since April 2014. The organization holds a CLIA Microscopy certificate valid through June 18, 2028 and lists Randall Dale Henderson, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1366862310
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRANDALL HENDERSON, D.O. PLLC
Location Address1314 N BRAZOS STWhitney, TX 76692-2010
Mailing AddressPo Box 2177Whitney, TX 76692-5177 · (254) 694-3621 · Fax (254) 694-7436
Phone(254) 694-3621
Fax(254) 694-7436
Organization SubpartNo
Authorized OfficialRandall Dale HendersonManaging Member · (254) 694-3621
Enumeration DateApril 17, 2014
Last NPPES UpdateApril 24, 2014
✔ NPI 1366862310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · L1340
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1314 N BRAZOS ST, Whitney, TX 76692
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Other Names 1

Doing Business AsWhitney Family Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D2079649

Whitney Family Medicine · Whitney, TX
Active · expires Jun 18, 2028
CLIA Number45D2079649
Laboratory TypePhysician Office
Certificate Effective DateJune 19, 2026
Certificate Expiration DateJune 18, 2028
Laboratory DirectorRandall D. Henderson
Laboratory Phone(254) 694-3621
Laboratory LocationWhitney Family Medicine1314 N Brazos Street, Whitney, TX 76692
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LESLIE ANN-SIKES MONTGOMERY FNP
Nurse Practitioner (Family)
1314 N BRAZOS ST
WHITNEY, TX 76692
Hill County (254) 694-3621
MS. MARY ANGELA CASANOVA LCSW
Social Worker (Clinical)
1314 N BRAZOS ST
WHITNEY, TX 76692
Hill County (254) 694-3621
JAMES D DREES P.A.
Physician Assistant
1314 N BRAZOS ST
WHITNEY, TX 76692
Hill County (254) 694-3621
MRS. JENNIFER PEACE ALLEN FNP-C
Nurse Practitioner (Family)
1314 N BRAZOS ST
WHITNEY, TX 76692
Hill County (254) 694-3621
FAMILY DIAGNOSTIC MEDICAL CENTER, LLP
Family Medicine
1314 N BRAZOS ST
WHITNEY, TX 76692
Hill County (254) 694-6997
BLAINE JENAE EUBANK
Physician Assistant (Medical)
1314 N BRAZOS ST
WHITNEY, TX 76692
Hill County (254) 694-3621
DR. RANDALL DALE HENDERSON DO
Family Medicine
1314 N BRAZOS ST
WHITNEY, TX 76692
Hill County (254) 694-3621

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randall Henderson, D.O. PLLC's NPI number?

The NPI number for Randall Henderson, D.O. PLLC is 1366862310. It was assigned to this organization in the NPPES registry on April 17, 2014. The provider is doing business as Whitney Family Medicine.

Where is Randall Henderson, D.O. PLLC located?

Randall Henderson, D.O. PLLC is located at 1314 N Brazos St, Whitney, TX 76692. The listed phone number is (254) 694-3621.

What is Randall Henderson, D.O. PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Randall Henderson, D.O. PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D2079649) is associated with this NPI, valid through June 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Randall Henderson, D.O. PLLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Randall Henderson, D.O. PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Randall Henderson, D.O. PLLC was last updated on April 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.