Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 2011017909 | MO |
Y | 2080P0205X | Pediatric Endocrinologist | 123551 | OH |
NPI | 1184912248 |
---|---|
Provider Name | Vincent Edward Horne |
First Address | Houston, TX 77030-2608 |
Second Address | Houston, TX 77030-2608 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2011 |
Last Update Date | 06/06/2017 |