MEDICARE: ERICA HORTON PA

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	363AM0700X	Medical Physician Assistant

General Provider Information

NPI Number	:	1346271525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA HORTON PA

Provider Business Mailing Address
First Line	:	5401 NORRIS CANYON RD
Second Line	:	SUITE 204
City	:	SAN RAMON
State	:	CA
Zip	:	94583-5409
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5401 NORRIS CANYON RD
Second Line	:	SUITE 204
City	:	SAN RAMON
State	:	CA
Zip	:	94583-5409
Country	:	US
Telephone Number	:	925-275-9288
Fax Number	:

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

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	07/08/2007

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Directions to “ ERICA HORTON PA” Practice Location

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