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
Fax: (512) 476-0195
Website:

Health care specialties

SpecialtyCodeLicense #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 12 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.

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Identifiers

StateTypeNumberIssuer
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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