Individual
MRS. SARAH ELYSE HORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, CSOWM, LD
Contact information
Practice address
3611 22ND PL, LUBBOCK, TX 79410
(806) 771-2222
(806) 771-2224
Mailing address
3509 22ND ST, LUBBOCK, TX 79410-1307
(806) 799-7928
(806) 788-8502
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT84320
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4247876
—
TX
01
—
8PS909
BCBS
TX
Enumeration date
01/13/2017
Last updated
06/16/2022
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