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Active NPI 1083170138 Individual Practitioner Male Practitioner

Samuel Pachis Henry , RBT

Technician, Other • Fort Worth, TX

Professional Overview & Biography Verified Profile Summary

Samuel Henry, RBT is a registered healthcare professional specializing in Technician, Other in Fort Worth, TX. Practice services are available at 12650 N BEACH ST STE 146 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12650 N Beach St Ste 146

Fort Worth, TX 762444253

Telephone 6822381872

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician, Other in Fort Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
29 Specialists

Practicing in Fort Worth, TX (787 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Technician, Other Primary Specialty

NUCC Taxonomy Code: 247200000X

State License None RBT-18-53975

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bacb
RBT-18-53975

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

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Alejandra Macias , RBT

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Registered Behavior Technician

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Haylee Rose , RBT

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Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 13, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location February 13, 2019

Registered at 12650 N BEACH ST STE 146, FORT WORTH, TX 762444253 (Tel: 6822381872)

📍
Updated Business Mailing Address February 13, 2019

Registered at 16800 DALLAS PKWY STE 200, DALLAS, TX 752481961

👤
Provider Name / Credentials Updated February 13, 2019

Recorded as SAMUEL HENRY, RBT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2019

Technician, Other (License #RBT-18-53975 in None)

🟢
Initial NPI Registration & Enumeration February 13, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083170138
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2019
Last Update: October 02, 2019
Sole Proprietor: No

Mailing Address

16800 Dallas Pkwy Ste 200

Dallas, TX 752481961

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.