Individual provider · NPI-1

Tyler Brooks Horton, OD

Optometrist · Indio, CA

NPI number1669114252
StatusActive
Last updated in NPPESJun 21, 2022

Details

NPI
1669114252
Entity type
Individual (NPI-1)
Name
Tyler Brooks Horton
Credential
OD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 13, 2022
Certification date
Jun 17, 2022
Last updated
Jun 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist0000CAYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

82227 Us Highway 111 Ste B2
Indio, CA 92201-5668

Phone 760-347-6636 · Fax 844-833-6644

Mailing address

2801 N Los Felices Cir E
Palm Springs, CA 92262-1499

Phone 805-903-3518

Other practice locations

52565 Cesar Chavez St Ste 105
Coachella, CA 92236-1534

Phone 760-347-6636 · Fax 844-866-6644

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