# HORNS MEDICAL SUPPLY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396760401
- **Authorized official:** MR. JERRY WAYNE HORN (VICE PRESIDENT)
- **Authorized official phone:** (903) 675-9360

## Contact information

- **Practice address:** 1901 S PALESTINE ST, ATHENS, TX 75751-5701
- **Practice address phone:** (903) 675-9360
- **Practice address fax:** (903) 675-1570
- **Mailing address:** 1901 S PALESTINE ST, ATHENS, TX 75751-5701
- **Mailing address phone:** (903) 675-9360
- **Mailing address fax:** (903) 675-1570

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BC3200X | Customized Equipment (DME) | 2844334 | TX | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 0040665 | TX | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 0056656 | TX | Yes |

## Other

- **Enumeration date:** 07/12/2006
- **Last updated:** 02/11/2013