Individual
MR. WESLEY WAYNE VAN HORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
1901 S 1ST ST, TEMPLE, TX 76504-7451
(254) 778-4811
(254) 743-0117
Mailing address
PO BOX 2001, TEMPLE, TX 76503-2001
(254) 913-0517
(254) 743-0117
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
642797
TX
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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