Active NPI
Floyd Arthur Hennan, D.O.
- Family Medicine Physician
- Decatur, TX
National Provider Identifier
1689663403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K9563
- Practice address
- 134 High Ridge CT
Decatur, TX 76234-1775 - Phone
- (325) 829-2125
- NPI assigned
- Oct 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K9563 | TX | Primary |
Addresses
Primary practice location
134 High Ridge CT
Decatur, TX 76234-1775
Mailing address
200 E Livingston St
San Augustine, TX 75972-2028
Phone (936) 275-9910
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036724504 | Medicaid | TX | |
| 036724502 | Medicaid | TX | |
| 036724506 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260113002511 | TX | Order and Referring Only - Family Practice | 6204721194 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3976 | AZ | MD | Psychologist |
| K9563 | TX | MD | Family Medicine Physician |
| E1966 | AR | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group West Texas, PLLC | Past | Accepting new patients | |
| Privia Medical Group West Texas, PLLC | Past | Accepting new patients | |
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Abilene, TX
- NPI 1346242567
-
- Pathology Specialist/Technologist
- Abilene, TX
- NPI 1760482665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767830400000",
"number": "1689663403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E LIVINGSTON ST",
"city": "SAN AUGUSTINE",
"state": "TX",
"postal_code": "759722028",
"telephone_number": "936-275-9910",
"fax_number": "936-275-9710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 HIGH RIDGE CT",
"city": "DECATUR",
"state": "TX",
"postal_code": "762341775",
"telephone_number": "325-829-2125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENNAN",
"first_name": "FLOYD",
"middle_name": "ARTHUR",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-14",
"last_updated": "2026-01-08",
"certification_date": "2026-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "K9563",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036724504",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036724502",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036724506",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.