Healthcare Provider Details

I. General information

NPI: 1730343757
Provider Name (Legal Business Name): BRIAN EMERY HORAN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2008
Last Update Date: 01/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2823 FRESNO ST
FRESNO CA
93721-1324
US

IV. Provider business mailing address

155 N FRESNO ST SUITE 206
FRESNO CA
93701-2302
US

V. Phone/Fax

Practice location:
  • Phone: 559-499-6439
  • Fax: 559-499-6441
Mailing address:
  • Phone: 559-499-6443
  • Fax: 559-499-6441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number20A9406
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: