Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225CA2400X | Assistive Technology Practitioner | ATP67219 | TX |
N | 225CX0006X | Orientation and Mobility Training Provider | ATP67219 | TX |
NPI | 1851725956 |
---|---|
Provider Name | Mr. James Allen Horn |
First Address | Athens, TX 75751-5701 |
Second Address | Athens, TX 75751-5701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/08/2013 |
Last Update Date | 26/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
ATP67219 | ATP 67219 (01) | TX |