HORATIO SPRAGUE TAVEAU IV


Address: 2300 S Clear Creek Rd, Suite 101, Killeen, TX 76549-4984
Phone: 2546344325

HORATIO SPRAGUE TAVEAU IV (NPI# 1366632580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366632580
Entity Type Individual
Full Name HORATIO SPRAGUE TAVEAU IV
Credential DO
Practice Address 2300 S Clear Creek Rd
Suite 101
Killeen
TX 76549-4984
Practice Telephone 2546344325
Practice Fax Number 2542004099
Mailing Telephone 8559634325
Mailing Fax Number 8559634325
Enumeration Date 2007-07-25
Last Update Date 2014-05-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice J0696 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX MEDICARE PTAN 00632M 01
TX 140005324 05

Office Location

Street Address 2300 S CLEAR CREEK RD
SUITE 101
City KILLEEN
State TX
Zip Code 76549-4984

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376541219 Monty Lee Gohl Surgery 2300 S Clear Creek Rd, Killeen, TX 76549-4984 2005-07-13
1790026946 Mandy Elaine Ethridge Counselor 2300 S Clear Creek Rd, Suite 205, Killeen, TX 76549-4984 2013-03-13
1649559188 Shivani Patel Pediatrics 2300 S Clear Creek Rd, Suite 105, Killeen, TX 76549-4984 2011-08-15
1376840140 Lone Star Circle of Care Clinic/Center 2300 S Clear Creek Rd, Suite 105, Killeen, TX 76549-4985 2011-02-14
1851590087 Petra Welch Nurse Practitioner 2300 S Clear Creek Rd, Suite 103, Killeen, TX 76549-4984 2007-07-17
1134286024 William Robert Rediske Podiatrist 2300 S Clear Creek Rd, Suite 203, Killeen, TX 76549-4984 2007-01-02
1215097761 Karen Lynn Seitz Nurse Practitioner 2300 S Clear Creek Rd, Killeen, TX 76549-4984 2006-12-12
1306930250 H. Sprague Taveau Iv Do Pa General Practice 2300 S Clear Creek Rd, Suite 101, Killeen, TX 76549-4984 2006-10-03
1760594329 Shree Om Shrestha Psychiatry & Neurology 2300 S Clear Creek Rd, Killeen, TX 76549-4984 2006-08-31
1346275971 Robert L. Allred Md Pa Orthopaedic Surgery 2300 S Clear Creek Rd, Suite 203, Killeen, TX 76549-4984 2006-07-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023630191 Joy Angolo Registered Nurse 1403 Chips Drive, Unit A, Killeen, TX 76549 2020-05-12
1215587308 Jacqueline Nicole Estrella Nurse Practitioner Med Options Killeen Nursing Homes, Kileen, TX 76549 2019-09-19
1366924052 Barbara Ann Vaughn Licensed Vocational Nurse 413 Apt A Study Hall Loop, Killeen, TX 76549 2018-08-30
1124505359 Carl R Darnall Army Medical Center Clinic/Center 5200 Bunny Trail, Killeen, TX 76549 2018-07-20
1518456961 Robert Brott Counselor 1103west Stan Schuleter Loop, Building A, Suite 100, Killeen, TX 76549 2018-05-01
1922507417 Family Endeavors, Inc. Community/Behavioral Health 1103 West Stan Schlueter Loop, Building A Suite 100, Killeen, TX 76549 2018-02-09
1285143859 Jennifer Dawn Rothman Behavioral Analyst 4506 The Searchers Dr, Killeen, TX 76549 2017-09-26
1700307964 City of Ennis Skilled Nursing Facility 5000 Thayer Dr, Killeen, TX 76549 2017-06-28
1790216190 Neysa Stegmeyer Nurse Practitioner 4102 S. Clear Creek Road, Ste 107, Killeen, TX 76549 2017-03-27
1740721471 Lspd At Killeen, Pllc Dentist 1103 West Stan Schlueter Loop Suite B-800, Killeen, TX 76549 2017-03-14
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619348232 First Response Medical Training General Practice 2904 Trimmier Rd, Suite 2, Killeen, TX 76542-6038 2015-10-08
1578614996 Omega Elmore General Practice 2900 Trimmier Rd, Killeen, TX 76542-6005 2007-01-13
1306930250 H. Sprague Taveau Iv Do Pa General Practice 2300 S Clear Creek Rd, Suite 101, Killeen, TX 76549-4984 2006-10-03

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1689288342 Nortex Medical Group General Practice 981 State Highway 121 Ste 4150, Allen, TX 75013 2020-09-01
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1023627569 Shepcole, Inc. General Practice 1431 Greenway Dr Ste 8000, Irving, TX 75038-2448 2020-07-30
1376151472 Canice Chukwuocha General Practice 3030 Elmside Dr Apt 179, Houston, TX 77042-3926 2020-07-15
1902424518 Medkare General Practice 2426 Lake Kolbe Ln, Houston, TX 77080-2562 2020-07-09
1528683810 Umc El Paso Healthcare Inc General Practice 7500 Viscount Blvd Ste 140, El Paso, TX 79925-5692 2020-06-11
1770107542 Texas Integrative Wellness Pllc General Practice 21660 Kingsland Blvd Ste 200, Katy, TX 77450-2511 2020-06-08
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Competitor

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City KILLEEN
Zip Code 76549

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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