Individual
THOMAS LEON HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
421 MEDICAL CENTER DR SW, FORT PAYNE, AL 35968-3421
(256) 845-1401
(256) 845-1402
Mailing address
421 MEDICAL CENTER DR SW, FORT PAYNE, AL 35968-3421
(256) 845-1401
(256) 845-1402
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
09300
MS
207Q00000X
Family Medicine Physician
Primary
13953
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02952029
—
MS
01
—
080012355
RAILROAD MEDICARE PTAN
AL
05
—
144086
—
AL
01
—
511-07803
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
01
—
P00620206
RAILROAD MEDICARE PTAN
MS
Enumeration date
06/28/2006
Last updated
05/05/2016
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