Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | M7279 | TX |
NPI | 1245403831 |
---|---|
Provider Name | Dr. Josephine Anne Horn |
First Address | Corpus Christi, TX 78419-5130 |
Second Address | Corpus Christi, TX 78419-5130 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2008 |
Last Update Date | 24/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
172864401 | (05) | TX |
172864402 | (05) | TX |
200669401 | (05) | TX |
208000000X | TAXONOMY NUMBER (01) | TX |
742361414 | TAX IDENTIFICATION NUMBER (01) | TX |