Provider Demographics
NPI:1699903294
Name:HORTON, MICHELLE KREISBERG (DO)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:KREISBERG
Last Name:HORTON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2386
Mailing Address - Street 2:THYROID CYTOPATHOLOGY PARTNERS
Mailing Address - City:ROUND ROCK
Mailing Address - State:GA
Mailing Address - Zip Code:78664
Mailing Address - Country:US
Mailing Address - Phone:706-836-7397
Mailing Address - Fax:512-597-2713
Practice Address - Street 1:12357 A RIATA TRACE PKWY, BLDG 5, STE 100
Practice Address - Street 2:THYROID CYTOPATHOLOGY PARTNERS
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78727
Practice Address - Country:US
Practice Address - Phone:512-814-0298
Practice Address - Fax:512-597-2713
Is Sole Proprietor?:No
Enumeration Date:2009-06-23
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ1172207ZC0500X, 207ZP0102X
GA003706207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology