Provider Demographics
NPI:1841874112
Name:HORTON, ARETHA
Entity type:Individual
Prefix:
First Name:ARETHA
Middle Name:
Last Name:HORTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 7TH ST STE 16
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77320-3853
Mailing Address - Country:US
Mailing Address - Phone:713-494-5748
Mailing Address - Fax:936-353-0055
Practice Address - Street 1:140 PAN AMERICAN DR STE A
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:TX
Practice Address - Zip Code:77351-4010
Practice Address - Country:US
Practice Address - Phone:832-392-5495
Practice Address - Fax:936-353-0055
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-11
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes347C00000XTransportation ServicesPrivate VehicleGroup - Single Specialty
No172A00000XOther Service ProvidersDriverGroup - Single Specialty