Horatio S Taveau Iv (NPI# 1366632580, PAC ID# 5991795643) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1366632580 |
| PAC ID by PECOS | 5991795643 |
| Professional Enrollment ID | I20040514000311 |
| Full Name | Horatio S Taveau Iv |
| Organization Legal Name | H. SPRAGUE TAVEAU IV DO PA |
| Address |
5610 E Central Texas Expressway Suite 5 Killeen TX 76543-5600 |
| Phone Number | 8559634325 |
| Gender | M |
| Credential | DO |
| Graduation Year | 1977 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7012089147 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450152 | METROPLEX HOSPITAL |
| 451323 | ROLLINS BROOK COMMUNITY HOSPITAL |
| 450054 | SCOTT & WHITE MEDICAL CENTER - TEMPLE |
| 670108 | BAYLOR SCOTT & WHITE MEDICAL CENTER - MARBLE FALLS |
| 670080 | SETON MEDICAL CENTER HARKER HEIGHTS |
| Address | Phone | Organization |
|---|---|---|
| 850 W Central Texas Expressway, Harker Heights, TX 76548-6202 | 2546900900 | H. SPRAGUE TAVEAU IV DO PA |
| 2300 S Clear Creek Rd, Suite 101, Killeen, TX 76549-4985 | 8559634325710 | H. SPRAGUE TAVEAU IV DO PA |
| 5610 E Central Texas Expressway, Suite 5, Killeen, TX 76543-5600 | 8559634325 | H. SPRAGUE TAVEAU IV DO PA |
| 608 N Key Ave, Lamapsas, TX 76550-1106 | 8559634325 | H. SPRAGUE TAVEAU IV DO PA |
| Organization Legal Name | H. SPRAGUE TAVEAU IV DO PA |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynn M Heise | Nurse Practitioner | H. Sprague Taveau Iv Do Pa | 5610 E Central Texas Expressway, Suite 5, Killeen, TX 76543-5600 |
| James R Wood | General Surgery | H. Sprague Taveau Iv Do Pa | 2300 S Clear Creek Rd, Suite 101, Killeen, TX 76549-4985 |
| Joyce B Ivie | Nurse Practitioner | H. Sprague Taveau Iv Do Pa | 5610 E Central Texas Expressway, Suite 5, Killeen, TX 76543-5600 |
| Amanda D Shannon | Nurse Practitioner | H. Sprague Taveau Iv Do Pa | 2300 S Clear Creek Rd, Suite 101, Killeen, TX 76549-4985 |
| Street Address |
5610 E CENTRAL TEXAS EXPRESSWAY SUITE 5 |
| City | KILLEEN |
| State | TX |
| Zip | 76543-5600 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynn M Heise | Nurse Practitioner | H. Sprague Taveau Iv Do Pa | 5610 E Central Texas Expressway, Suite 5, Killeen, TX 76543-5600 |
| Joyce B Ivie | Nurse Practitioner | H. Sprague Taveau Iv Do Pa | 5610 E Central Texas Expressway, Suite 5, Killeen, TX 76543-5600 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Polly T Vick | Nurse Practitioner | 2300 E Rancier Ave, Suite 103, Killeen, TX 76543-3450 | |
| John D Deapen | Optometry | 1106 S W S Young, Killeen, TX 76543-4881 | |
| Charles R Sanders | Optometry | 1400 Lowes Blvd, Killeen, TX 76543-5201 | |
| Linda Austin | Clinical Social Worker | 2811 Phoenix Dr, Killeen, TX 76543-5238 | |
| Thikra J Kadhim | Family Medicine | 4520 E Central Texas Expy, Suite 101, Killeen, TX 76543-5276 | |
| William W Cofield Jr. | Psychologist, Clinical | 2201 S W S Young Dr, Suite 117a1, Killeen, TX 76543-5338 | |
| Michael J Reyes | Optometry | Killeen Eye Associates, P.a. | 2102 S W S Young Dr, Killeen, TX 76543-5364 |
| Larry Edward Kocian Jr. | Optometry | Killeen Eye Associates, P.a. | 2102 S W S Young Dr, Killeen, TX 76543-5364 |
| Scarlett A Foster | Physician Assistant | William S Marsh IIi, Do, Pa | 5320 E Central Texas Expy, Suite 105, Killeen, TX 76543-5516 |
| Beth Ann Vanderpool | Physician Assistant | William S Marsh IIi, Do, Pa | 5320 E Central Texas Expy, Suite 105, Killeen, TX 76543-5516 |
| Find all physicians in zip 76543 | |||
| City | KILLEEN |
| Zip Code | 76543 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | KILLEEN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Horatio S Taveau Iv.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.