Provider Demographics
NPI:1588622922
Name:HORAN, TERRI T (MD)
Entity type:Individual
Prefix:DR
First Name:TERRI
Middle Name:T
Last Name:HORAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901B LOOP 337
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-3556
Mailing Address - Country:US
Mailing Address - Phone:830-629-1703
Mailing Address - Fax:830-606-7560
Practice Address - Street 1:901 B LOOP 337
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130
Practice Address - Country:US
Practice Address - Phone:830-629-1703
Practice Address - Fax:830-606-7560
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH5271174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF26656Medicare UPIN