Provider Demographics
NPI:1003862640
Name:JEFFREY L. HORSWELL, MD PA
Entity Type:Organization
Organization Name:JEFFREY L. HORSWELL, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:HORSWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-247-9946
Mailing Address - Street 1:PO BOX 814582
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75381-4582
Mailing Address - Country:US
Mailing Address - Phone:972-247-9946
Mailing Address - Fax:972-247-9388
Practice Address - Street 1:7777 FOREST LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2505
Practice Address - Country:US
Practice Address - Phone:972-247-9946
Practice Address - Fax:972-247-9388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF9585207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty