Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | P5994 | TX |
NPI | 1205861416 |
---|---|
Provider Name | Dr. Joseph Horton |
First Address | Harlingen, TX 78550-8348 |
Second Address | Harlingen, TX 78550-8307 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 14/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I59386 | (02) | PA |