Provider Demographics
NPI:1346492543
Name:ONE HORIZON, INC
Entity Type:Organization
Organization Name:ONE HORIZON, INC
Other - Org Name:ONE HORIZON, INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:SECRETAREY
Authorized Official - Prefix:MISS
Authorized Official - First Name:ABREHET
Authorized Official - Middle Name:G
Authorized Official - Last Name:ABRAHA
Authorized Official - Suffix:
Authorized Official - Credentials:AS DEGRE
Authorized Official - Phone:972-400-3100
Mailing Address - Street 1:101 E PARK BLVD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-5483
Mailing Address - Country:US
Mailing Address - Phone:972-400-3100
Mailing Address - Fax:972-423-1924
Practice Address - Street 1:15455 DALLAS PARKWAY
Practice Address - Street 2:SUITE 600
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001
Practice Address - Country:US
Practice Address - Phone:972-764-3535
Practice Address - Fax:972-782-9791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2013-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335G00000XSuppliersMedical Foods Supplier