Individual
JACK E HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1807 W SLAUGHTER LN, #490, AUSTIN, TX 78748-6208
(512) 282-8967
(512) 292-5143
Mailing address
PO BOX 26726, AUSTIN, TX 78755-0726
(512) 407-8686
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J2087
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116361002
—
TX
05
—
116361004
—
TX
05
—
116361005
—
TX
05
—
116361006
—
TX
Enumeration date
07/31/2006
Last updated
12/16/2011
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