MEDICARE: DR. CHERYL JOLENE HORN M.D.

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	208000000X	Pediatrics Physician	P2985	TX

General Provider Information

NPI Number	:	1093957896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHERYL JOLENE HORN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 733784
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75373-3784
Country	:	US
Telephone Number	:	682-885-1855
Fax Number	:	682-885-1396

Provider Business Practice Location Address
First Line	:	3555 NATIONAL DR STE 100
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75025-0110
Country	:	US
Telephone Number	:	972-731-9900
Fax Number	:	972-731-9907

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

Provider Enumeration Date	:	03/25/2009
Last Update Date	:	05/25/2021

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