Provider Demographics
NPI:1598997298
Name:HORNER, JOHN GASTON (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:GASTON
Last Name:HORNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 S AVENUE M
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:TX
Mailing Address - Zip Code:76374-1642
Mailing Address - Country:US
Mailing Address - Phone:940-564-3546
Mailing Address - Fax:940-564-8882
Practice Address - Street 1:100 S AVENUE M
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:TX
Practice Address - Zip Code:76374-1642
Practice Address - Country:US
Practice Address - Phone:940-564-3546
Practice Address - Fax:940-564-8882
Is Sole Proprietor?:No
Enumeration Date:2009-08-13
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP2459207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine