MEDICARE: HORIZON ACCIDENT & INJURY CENTER

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
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1215809512
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORIZON ACCIDENT & INJURY CENTER

Provider Business Mailing Address
First Line	:	13001 EASTLAKE BLVD STE 104
Second Line	:
City	:	HORIZON CITY
State	:	TX
Zip	:	79928-6312
Country	:	US
Telephone Number	:	915-857-2500
Fax Number	:	915-857-1466

Provider Business Practice Location Address
First Line	:	13001 EASTLAKE BLVD STE 104
Second Line	:
City	:	HORIZON CITY
State	:	TX
Zip	:	79928-6312
Country	:	US
Telephone Number	:	915-857-2500
Fax Number	:	915-857-1466

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ANDRES RENTERIA
Credential	:
Telephone Number	:	915-258-0246

Provider Enumeration Date	:	09/18/2025
Last Update Date	:	09/18/2025

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