John G. Horner, M.d., P.a. | |
200 W Ollie St Llano TX 78643-2628 | |
(325) 216-9199 | |
Not Available |
Full Name | John G. Horner, M.d., P.a. |
---|---|
Speciality | Family Medicine |
Location | 200 W Ollie St, Llano, Texas |
Authorized Official Name and Position | John G Horner (DIRECTOR) |
Authorized Official Contact | 3255131823 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
John G. Horner, M.d., P.a. Po Box 584 Llano TX 78643-0584 Ph: (325) 625-3533 | John G. Horner, M.d., P.a. 200 W Ollie St Llano TX 78643-2628 Ph: (325) 216-9199 |
NPI Number | 1588919245 |
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Provider Enumeration Date | 07/18/2012 |
Last Update Date | 07/17/2023 |
Medicare PECOS PAC ID | 2668620519 |
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Medicare Enrollment ID | O20120927000316 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588919245 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | P2459 (Texas) | Primary |
Provider Name | John G Horner |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598997298 PECOS PAC ID: 5193973055 Enrollment ID: I20120926000786 |
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