Individual
TEAGUE LON HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200300481
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1332X
BCBS
—
05
—
8913324
—
NC
01
—
C6026
MEDCOST
—
Enumeration date
11/29/2006
Last updated
07/23/2022
Update your record
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