MEDICARE: MRS. PATRICIA HORNSBY NP

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	363LF0000X	Family Nurse Practitioner	233913	TX

General Provider Information

NPI Number	:	1417256439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PATRICIA HORNSBY NP

Provider Business Mailing Address
First Line	:	407 WEST INTESTATE 30
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75043
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	407 WEST INTESTATE 30
Second Line	:	SUITE 407
City	:	GARLAND
State	:	TX
Zip	:	75043-5912
Country	:	US
Telephone Number	:	972-240-8539
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2011
Last Update Date	:	03/16/2011

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