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NPI Code Detail

MEDICARE: ROBERT LYNN HORNE MD LTD

MEDICARE: ROBERT LYNN HORNE MD LTD
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
1261QM0850XAdult Mental Health Clinic/Center5311NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558544841
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROBERT LYNN HORNE MD LTD
Provider Business Mailing Address
First Line : 840 S RANCHO DR STE 4-244
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-3837
Country : US
Telephone Number : 702-301-2555
Fax Number : 702-822-2020
Provider Business Practice Location Address
First Line : 3017 W CHARLESTON BLVD STE 70
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1928
Country : US
Telephone Number : 702-822-1188
Fax Number : 702-822-2020
Authorized Official
Title or Position : OWNER
Name : DR. ROBERT LYNN HORNE
Credential : MD LTD
Telephone Number : 702-822-1188
Provider Enumeration Date : 12/10/2007
Last Update Date : 03/20/2024

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