Individual
BRETT HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 KINGS HWY, DEPARTMENT OF EMERGENCY MEDICINE, SHREVEPORT, LA 71103-4228
(318) 675-7261
(318) 675-6878
Mailing address
1501 KINGS HWY, DEPARTMENT OF EMERGENCY MEDICINE, SHREVEPORT, LA 71103-4228
(318) 675-7261
(318) 675-6878
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
79096
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05824
—
LA
Enumeration date
05/15/2008
Last updated
12/19/2018
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