MEDICARE: HORIZON EVALUATORS INC.

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1538216312
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORIZON EVALUATORS INC.

Provider Business Mailing Address
First Line	:	PO BOX 2127
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77410-2127
Country	:	US
Telephone Number	:	281-477-6363
Fax Number	:	281-477-6356

Provider Business Practice Location Address
First Line	:	12345 JONES RD
Second Line	:	110
City	:	HOUSTON
State	:	TX
Zip	:	77070-4855
Country	:	US
Telephone Number	:	281-477-6363
Fax Number	:	281-477-6356

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. RICK BONAVENTURA
Credential	:
Telephone Number	:	281-477-6363

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	08/22/2020

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