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Individual

DR. DARRELL WAYNE HORTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1201 W INDUSTRIAL, SULPHER SPRINGS, TX 75482
(903) 439-1990
(903) 438-1405
Mailing address
1201 W INDUSTRIAL, SULPHER SPRINGS, TX 75482
(903) 439-1990
(903) 438-1405

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
23347
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0052EP
BLUE CROSS BLUE SHIELD
05
096465201
TX
Enumeration date
02/21/2007
Last updated
07/21/2010
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