Individual
MR. DON RODGERICK HORTON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7401 NE 23RD ST, OKLAHOMA CITY, OK 73141-1420
(405) 455-2139
Mailing address
7401 NE 23RD ST, OKLAHOMA CITY, OK 73141-1420
(405) 455-2139
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3920168921
PRIVATE AGENCY
—
Enumeration date
06/11/2012
Last updated
06/11/2012
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