Provider Demographics
NPI:1306437066
Name:HORTON, DARBY WRAY (RDN)
Entity type:Individual
Prefix:
First Name:DARBY
Middle Name:WRAY
Last Name:HORTON
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 W 13TH ST
Mailing Address - Street 2:
Mailing Address - City:DE WITT
Mailing Address - State:AR
Mailing Address - Zip Code:72042-2907
Mailing Address - Country:US
Mailing Address - Phone:870-370-5822
Mailing Address - Fax:
Practice Address - Street 1:801 W 13TH ST
Practice Address - Street 2:
Practice Address - City:DE WITT
Practice Address - State:AR
Practice Address - Zip Code:72042-2907
Practice Address - Country:US
Practice Address - Phone:870-370-5822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-26
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered