Individual
DR. JOHN ELLIS HORNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2802 W WALKER ST, BRECKENRIDGE, TX 76424-4000
(254) 559-7215
(254) 559-5725
Mailing address
2802 W WALKER ST, BRECKENRIDGE, TX 76424-4000
(254) 559-7215
(254) 559-5725
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11717
TX
1223G0001X
General Practice Dentistry
11717
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008977302
—
TX
Enumeration date
11/22/2005
Last updated
10/01/2012
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