Randall Henderson, D.O. PLLC
NPI 1366862310ActiveOrganization· Family Medicine· Whitney, TX
Family Medicine in Whitney, Texas, registered in NPPES in April 2014. The authorized official on file is Randall Dale Henderson, D.O., Managing Member. Enrolled in Medicare as part a provider - rural health clinic and part b supplier - clinic/group practice.
Overview
| NPI | 1366862310 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 17, 2014 |
| Last updated in NPPES | Apr 24, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | L1340 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Rural Health Clinic (TX); Part B Supplier - Clinic/Group Practice (TX) |
|---|
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