NPI | 1336529536 |
---|---|
Doing Business As | HORIZON FAMILY PRACTICE & GERIATRICS |
Entity Type | Organization |
Authorized Contact | MICCA RACHEL RIEDEL Owner/Provider 409-330-4885 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
363LG0600X Nurse Practitioner, Gerontology | |
Enumeration Date | 2015-06-02 |
Last Update Date | 2017-01-09 |