Provider Demographics
NPI:1851725956
Name:HORN, JAMES ALLEN (ATP)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ALLEN
Last Name:HORN
Suffix:
Gender:M
Credentials:ATP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1901 S PALESTINE ST
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:TX
Mailing Address - Zip Code:75751-5701
Mailing Address - Country:US
Mailing Address - Phone:903-675-9360
Mailing Address - Fax:903-675-1570
Practice Address - Street 1:1901 S PALESTINE ST
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:TX
Practice Address - Zip Code:75751-5701
Practice Address - Country:US
Practice Address - Phone:903-675-9360
Practice Address - Fax:903-675-1570
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-26
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXATP67219225CA2400X, 225CX0006X, 332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No225CA2400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorAssistive Technology Practitioner
No225CX0006XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorOrientation and Mobility Training Provider
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXATP67219OtherATP 67219