Individual
JOHN JOSEPH HORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 FISHER RD, BERLIN, VT 05602-9516
(802) 371-4820
Mailing address
1020 W 34TH ST, AUSTIN, TX 78705-2009
(512) 687-1950
(512) 687-1490
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
042.0013284
VT
208800000X
Urology Physician
J0966
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123947705
—
TX
Enumeration date
07/13/2005
Last updated
04/04/2025
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