Individual
MS. TINA M HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2121 W CHANDLER BLVD, SUITE 110, CHANDLER, AZ 85224-6545
(480) 963-2233
(480) 963-2277
Mailing address
2121 W CHANDLER BLVD, SUITE 110, CHANDLER, AZ 85224
(480) 963-2233
(480) 963-2277
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2767
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
880858
—
AZ
01
—
AZ0146780
BCBS
AZ
Enumeration date
06/08/2005
Last updated
12/16/2011
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