Individual
DIANA HORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4207 JAMES CASEY ST, SUITE 302, AUSTIN, TX 78745-3300
(512) 445-9000
(512) 306-8788
Mailing address
PO BOX 160787, AUSTIN, TX 78716-0787
(512) 445-9000
(512) 306-8788
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J0002
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0045KD
BCBS
—
01
—
P00004533
RAILROAD MEDICARE
—
Enumeration date
01/20/2006
Last updated
07/16/2007
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