Provider Demographics
NPI:1093957896
Name:HORN, CHERYL JOLENE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:JOLENE
Last Name:HORN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 733784
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-3784
Mailing Address - Country:US
Mailing Address - Phone:682-885-1855
Mailing Address - Fax:682-885-1396
Practice Address - Street 1:3555 NATIONAL DR STE 100
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-0110
Practice Address - Country:US
Practice Address - Phone:972-731-9900
Practice Address - Fax:972-731-9907
Is Sole Proprietor?:No
Enumeration Date:2009-03-25
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP2985208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics