Provider Demographics
NPI:1245403831
Name:HORN, JOSEPHINE ANNE (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPHINE
Middle Name:ANNE
Last Name:HORN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8929 MARAUDER DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-4186
Mailing Address - Country:US
Mailing Address - Phone:361-877-9967
Mailing Address - Fax:
Practice Address - Street 1:10651 E ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78419-5130
Practice Address - Country:US
Practice Address - Phone:361-961-6000
Practice Address - Fax:361-961-3501
Is Sole Proprietor?:No
Enumeration Date:2008-04-04
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM72792080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX172864401Medicaid
TX200669401Medicaid
TX172864402Medicaid
TX208000000XOtherTAXONOMY NUMBER
TX742361414OtherTAX IDENTIFICATION NUMBER