Healthcare Provider Details

I. General information

NPI: 1437202355
Provider Name (Legal Business Name): DEBORAH BADE HORN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 12/06/2024
Certification Date: 12/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 WEST LOOP S STE 200E
BELLAIRE TX
77401-3535
US

IV. Provider business mailing address

6348 SEWANEE AVE
HOUSTON TX
77005-3324
US

V. Phone/Fax

Practice location:
  • Phone: 713-436-1330
  • Fax:
Mailing address:
  • Phone: 919-688-3079
  • Fax: 919-688-8022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberM5230
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License NumberM5230
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: