# DR. CHARLES R. HORTON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1114017555
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | R2H10 | AR | Yes |

## Other

- **Enumeration date:** 10/14/2006
- **Last updated:** 07/09/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 111358001 | — | AR |
| 05 | — | 202463923 | — | MO |
| 01 | — | 206337 | HEALTHLINK PROV. \# | MO |
| 01 | — | 52481 | AR BLUE SHIELD \# | AR |