Provider Demographics
NPI:1376587873
Name:HORN, CLAIRE A (MD)
Entity type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:A
Last Name:HORN
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 1:5323 HARRY HINES BLVD.
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:57390-8884
Mailing Address - Country:US
Mailing Address - Phone:214-648-9110
Mailing Address - Fax:214-648-7995
Practice Address - Street 1:5323 HARRY HINES BLVD.
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-8884
Practice Address - Country:US
Practice Address - Phone:214-648-9110
Practice Address - Fax:214-648-7995
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01038116207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
INE92059Medicare UPIN
IN675920IMedicare ID - Type Unspecified