Van Horn, Thomas
Van Horn, Thomas is an sole proprietor health care provider with primary practice located at 3215 Steck Ave Suite 200, Austin TX 78757-7566. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Van Horn, Thomas can be contacted via phone (512) 476-3556.Contact Information
Primary practice address
3215 Steck Ave Suite 200
Austin TX 78757-7566
Phone: (512) 476-3556
Fax: (512) 476-0195
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA00103 | Texas |
Profile Details
| NPI number | 1851392724 |
|---|---|
| LBN Legal business name | Van Horn, Thomas |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Jun 25th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851392724 | NPPES |
| Texas | Other | 86N029 | BLUE CROSS BLUE SHIELD |
| Texas | Other | 970004841 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 117359303 | BLUE CROSS BLUE SHIELD |
| Texas | Other | 742843212 | BLUE CROSS BLUE SHIELD |
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