HENDERSON FAMILY MEDICINE, PLLC
NPI 1831415793
Family Medicine in Henderson, TX

Q: What is Henderson Family Medicine, PLLC's NPI number?

The NPI number for Henderson Family Medicine, PLLC is 1831415793. It was assigned to this organization in the NPPES registry on April 15, 2010.

Q: What is Henderson Family Medicine, PLLC's specialty?

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

Active since April 15, 2010CLIA 45D2006203 · Waiver

105 N HIGH ST, HENDERSON, TX 75652(903) 235-0086(903) 657-1674 Get Directions Write a Review

NPPES record last updated: April 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Henderson Family Medicine, Pllc NPPES

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

HENDERSON FAMILY MEDICINE, PLLC (NPI 1831415793) is a healthcare organization registered as a family medicine in Henderson, Texas and active in the NPI registry since April 2010. The organization holds a CLIA Waiver certificate valid through April 13, 2028 and lists Tad Titlow, Owner, as its authorized official.

NPPES Registry Identity

NPI1831415793

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameHENDERSON FAMILY MEDICINE, PLLC

Location Address105 N HIGH STHenderson, TX 75652-3133

Mailing Address105 N High StHenderson, TX 75652-3133 · (903) 235-0086 · Fax (903) 657-1674

Phone(903) 235-0086

Fax(903) 657-1674

Organization SubpartNo

Authorized OfficialTad TitlowOwner · (903) 235-0086

Enumeration DateApril 15, 2010

✔ NPI 1831415793 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 · L1106

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.

105 N HIGH ST, Henderson, TX 75652

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Other Identifiers 1

Medicare UPINH43392TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 of Waiver 45D2006203

Henderson Family Medicine PLLC · Henderson, TX

Active · expires Apr 13, 2028

CLIA Number45D2006203

Laboratory TypePhysician Office

Certificate Effective DateApril 14, 2026

Certificate Expiration DateApril 13, 2028

Laboratory DirectorTad Titlow

Laboratory Phone(903) 235-0086

Laboratory LocationHenderson Family Medicine PLLC105 N High St, Henderson, TX 75652

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

UPALI SANATH WALGAMA MD

Internal Medicine