Individual
DR. ALLAN CHAD VAN HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2705 PRINCE GEORGE AVE, DESOTO, TX 75115-2045
(972) 780-0480
(972) 780-1453
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
H4762
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001382060
UNITED HEALTH
TX
05
—
035084501
—
TX
05
—
035084502
—
TX
05
—
035084503
—
TX
01
—
0614904
AETNA
TX
01
—
1344721009
CIGNA
TX
01
—
340009464
RAIL ROAD MEDICARE
TX
01
—
8A9483
BLUECROSS BLUESHIELD
TX
01
—
P01346795
RAILROAD MEDICARE
TX
Enumeration date
07/03/2006
Last updated
12/30/2016
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