NPI 1013485895

Jerry Wayne Horn, ATP

Practitioner Other Technician Athens, TX

Practice location

Address: 1901 S Palestine St, Athens, TX 75751-5701
Phone: (903) 681-5449

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence 88274 (TX)

Other Technician, Other providers in Texas →

Registry record

NPI: 1013485895
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Nov 2018
Record last updated: 9 Nov 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.