IndividualActive
Raven Henderson, M.D.
NPI 1437415726 · Plastic Surgery Physician · Tyler, TX
Raven Henderson, M.D. is a Plastic Surgery Physician provider in Tyler, TX (NPI 1437415726).
Provider details
- NPI number
- 1437415726
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 04-40363 (KS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2140 W Grande Blvd Ste a
Tyler, TX 75703-0563
Phone: (903) 251-2765
Fax: (270) 216-6827
Street-level locationGet directions
Mailing address
2140 W Grande Blvd Ste a
Tyler, TX 75703-0563
Registry dates
- Enumerated
- 2012-04-11
- Last updated
- 2024-07-05
- Certified
- 2024-07-05
Frequently asked questions
- What is Raven Henderson's NPI number?
- Raven Henderson's National Provider Identifier (NPI) is 1437415726, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raven Henderson's specialty?
- Raven Henderson is listed in the NPPES registry with a primary specialty of Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Raven Henderson located?
- Raven Henderson's practice location on file with NPPES is 2140 W Grande Blvd Ste a, Tyler, TX 75703-0563.
- What is Raven Henderson's phone number?
- The practice phone number listed in the NPPES registry for Raven Henderson is (903) 251-2765.
- Is Raven Henderson's NPI active?
- Yes — Raven Henderson's NPI (1437415726) is active in the NPPES registry as of the last update on 2024-07-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.