| Horizon Medical, Llc | |
|
7459 E Tanque Verde Rd Tucson AZ 85715-3477 | |
| (520) 547-5688 | |
| Not Available |
| Full Name | Horizon Medical, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7459 E Tanque Verde Rd, Tucson, Arizona |
| Authorized Official Name and Position | German G Lasala (MANAGER) |
| Authorized Official Contact | 5209917258 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Horizon Medical, Llc 7459 E Tanque Verde Rd Tucson AZ 85715-3477 Ph: (520) 207-7296 | Horizon Medical, Llc 7459 E Tanque Verde Rd Tucson AZ 85715-3477 Ph: (520) 547-5688 |
| NPI Number | 1720303324 |
|---|---|
| Provider Enumeration Date | 04/07/2010 |
| Last Update Date | 05/16/2011 |
| Medicare PECOS PAC ID | 5092842831 |
|---|---|
| Medicare Enrollment ID | O20100427000324 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720303324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 19934 (Arizona) | Primary |
| Provider Name | German G Lasala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124086392 PECOS PAC ID: 2567503535 Enrollment ID: I20100113000236 |
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