Gregory Hortman, MD | |
618 S Grove St, Marshall, TX 75670 | |
(903) 927-6662 | |
Not Available |
Full Name | Gregory Hortman |
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Gender | Male |
Speciality | Pediatrics |
Location | 618 S Grove St, Marshall, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972583383 | NPI | - | NPPES |
L1616 | Other | TX | TX LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | L1616 (Texas) | Primary |
Entity Name | East Texas Border Health Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558329797 PECOS PAC ID: 8820038565 Enrollment ID: O20050511001030 |
Mailing Address | Practice Location Address |
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Gregory Hortman, MD Po Box 1326, Marshall, TX 75671-1326 Ph: (903) 927-3782 | Gregory Hortman, MD 618 S Grove St, Marshall, TX 75670 Ph: (903) 927-6662 |
Susan Fernandes, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 620 S Grove St Ste 105, Marshall, TX 75670 Phone: 903-935-9441 Fax: 903-938-1246 | |
Dr. Carl Robert Turner, M.D., F.A.A.P. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 304 University Ave, Suite 105, Marshall, TX 75670 Phone: 903-935-9441 Fax: 903-938-1246 | |
Norman Houchen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 618 S Grove St, Ste 100, Marshall, TX 75670 Phone: 903-927-6611 Fax: 903-927-6616 |