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NPI Code Detail

MEDICARE: MS. SANDRA SUE HORWITZ FNP-C

MEDICARE: MS. SANDRA SUE HORWITZ FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP111886TX
2363A00000XPhysician AssistantTX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063445492
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SANDRA SUE HORWITZ FNP-C
Provider Business Mailing Address
First Line : 6155 BANDERA AVE
Second Line :
City : DALLAS
State : TX
Zip : 75225-3336
Country : US
Telephone Number : 214-887-6955
Fax Number : 214-887-6983
Provider Business Practice Location Address
First Line : 6120 MOCKINGBIRD LANE
Second Line :
City : DALLAS
State : TX
Zip : 75214-2601
Country : US
Telephone Number : 214-887-6955
Fax Number : 214-887-6983
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2006
Last Update Date : 11/02/2016

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