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CARTER HENDERSON
NPI 1568204113
Student in an Organized Health Care Education/Training Program in Tyler, TX

Active since June 12, 2024
1301 CLINIC DR, TYLER, TX 75701(903) 592-8115 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carter Henderson NPPES

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

CARTER HENDERSON (NPI 1568204113) is an individual student in an organized health care education/training program in Tyler, Texas, licensed in Texas (40425) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1568204113
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCARTER HENDERSON
Location Address1301 CLINIC DRTyler, TX 75701-2120
Mailing Address1301 Clinic DrTyler, TX 75701-2120 · (903) 592-8115
Phone(903) 592-8115
Sole ProprietorYes
Enumeration DateJune 12, 2024
NPPES CertifiedJune 12, 2024
✔ NPI 1568204113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in TX · 40425
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1301 CLINIC DR, Tyler, TX 75701
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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.

CHRISTOPHER PHAM
Pharmacist
1301 CLINIC DR
TYLER, TX 75701
Smith County (903) 592-8115
RANDY DAVIDSON PHARM.D.
Pharmacist
1301 CLINIC DR
TYLER, TX 75701
Smith County (903) 592-8115
ALLEN'S NUTECH INC.
Pharmacy (Home Infusion Therapy Pharmacy)
1301 CLINIC DR
TYLER, TX 75701
Smith County (903) 574-0488
DANNY RAY ALLEN BCNP
Pharmacist
1301 CLINIC DR
TYLER, TX 75701
Smith County (903) 574-0488
ALLEN'S NUTECH INC.
Pharmacy (Specialty Pharmacy)
1301 CLINIC DR
TYLER, TX 75701
Smith County (903) 592-8635
DR. REY PRESTON DIMAS
Pharmacist
1301 CLINIC DR
TYLER, TX 75701
Smith County (903) 592-8115
KENNETH BLANTON
Pharmacist
1301 CLINIC DR
TYLER, TX 75701
Smith County (903) 592-8635

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 Carter Henderson's NPI number?

The NPI number for Carter Henderson is 1568204113. It was assigned to this individual provider in the NPPES registry on June 12, 2024.

Where is Carter Henderson located?

Carter Henderson practices at 1301 Clinic Dr, Tyler, TX 75701. The listed phone number is (903) 592-8115.

What is Carter Henderson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Carter Henderson was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.