| Provider / Organization | NPI | Date Certified |
|---|---|---|
| TERESA PAULINE HORAN | 1629539788 | 2019-03-29 |
Teresa Pauline Horan is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1629539788. Registration indicates Teresa Pauline Horan is a provider of access to ophthalmic care services with a specialization in Allopathic & Osteopathic Physicians, Ophthalmology (Allopathic & Osteopathic Physicians, Ophthalmology) (Ophthalmology, ) (Vision/Audiology, ) (Ophthalmology, Allopathic & Osteopathic Physicians) (Ophthalmology Glaucoma Specialist, Allopathic & Osteopathic Physicians) (Ophthalmology, )
| Entity Type | Individual |
| Provider Name | Dr. Teresa Pauline Horan MD |
| Practice Office Address | 419 W REDWOOD ST BALTIMORE, MD US |
| Practice Office Telephone | 6672141111 |
| Mailing Address | 419 W REDWOOD ST STE 470 BALTIMORE, MD 212017009 US |
| Business Telephone | 6672141111 |
| Business Fax | 4103281178 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 933 Bradbury Dr SE Ste 2222 | Albuquerque, NM 871064375 | 5052722553 |
| 419 W Redwood St | Baltimore, MD 212011734 | 6672141111 |
| Code | Practice | License No State |
|---|---|---|
| 207W00000X | Access to Ophthalmic Care Allopathic & Osteopathic Physicians Ophthalmology Allopathic & Osteopathic Physicians Ophthalmology Ophthalmology Vision/Audiology Ophthalmology Allopathic & Osteopathic Physicians | D0099690
MD |
| 207WX0009X PRIMARY | Ophthalmology Glaucoma Specialist Allopathic & Osteopathic Physicians Ophthalmology | D0099690
MD |