Doctor Name: | MR. EDMUND CASE HORTON |
NPI Number: | 1104216886 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ATP |
License Number: | ATP49799 |
Business Practice Address: | 2443-8 Nw Loop Stephenville, TX - 76401 |
Business Phone Number: | 2549773762 |
Business Fax Number: | |
Mailing Address: | 2443-8 Nw Loop, STEPHENVILLE |
State: | TX |
Postal Code: | 76401 |
Phone Number: | 2549773762 |
Fax Number: | 2549686167 |
NPI Enumeration Date: | 02/02/2015 |
NPI Last Update Date: | 02/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225CA2400X |
License Number: | ATP49799 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Counselor |
Taxonomy Specialization: | Assistive Technology Practitioner |
Taxonomy Definition: |