Provider Demographics
NPI:1144211509
Name:HORN, VERNON P (MD)
Entity Type:Individual
Prefix:DR
First Name:VERNON
Middle Name:P
Last Name:HORN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5939 HARRY HINES BLVD
Mailing Address - Street 2:SUITE 630
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-6246
Mailing Address - Country:US
Mailing Address - Phone:214-688-0228
Mailing Address - Fax:214-688-1421
Practice Address - Street 1:5939 HARRY HINES BLVD
Practice Address - Street 2:SUITE 630
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-6246
Practice Address - Country:US
Practice Address - Phone:214-688-0228
Practice Address - Fax:214-688-1421
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXE3954207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
B23578Medicare UPIN
8A9589Medicare ID - Type Unspecified