Provider Demographics
NPI:1154468817
Name:HORTON, GAY FRANK
Entity Type:Individual
Prefix:MR
First Name:GAY
Middle Name:FRANK
Last Name:HORTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 TIMBER RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:DRASCO
Mailing Address - State:AR
Mailing Address - Zip Code:72530-9414
Mailing Address - Country:US
Mailing Address - Phone:501-362-7595
Mailing Address - Fax:501-362-6499
Practice Address - Street 1:1716 W. SEARCY ST.
Practice Address - Street 2:
Practice Address - City:HEBER SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72543
Practice Address - Country:US
Practice Address - Phone:501-362-7595
Practice Address - Fax:501-362-6499
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator