Provider Demographics
NPI:1912000357
Name:HORNE, TANESSA JOHNANN (PT)
Entity Type:Individual
Prefix:MRS
First Name:TANESSA
Middle Name:JOHNANN
Last Name:HORNE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:TANESSA
Other - Middle Name:JOHNANN
Other - Last Name:MUENICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6300 WEST LOOP S
Mailing Address - Street 2:SUITE 500
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-2900
Mailing Address - Country:US
Mailing Address - Phone:713-661-2900
Mailing Address - Fax:713-661-2999
Practice Address - Street 1:6300 W EST LOOP SOUTH
Practice Address - Street 2:SUITE 118
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401
Practice Address - Country:US
Practice Address - Phone:713-661-2900
Practice Address - Fax:713-661-2999
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1114676174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist