| H. Sprague Taveau Iv Do Pa | |
|
2300 S Clear Creek Rd Suite 101 Killeen TX 76549-4984 | |
| (855) 963-4325 | |
| (855) 963-4325 |
| Full Name | H. Sprague Taveau Iv Do Pa |
|---|---|
| Speciality | General Practice |
| Location | 2300 S Clear Creek Rd, Killeen, Texas |
| Authorized Official Name and Position | Horatio Sprague Taveau (OWNER) |
| Authorized Official Contact | 8559634325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| H. Sprague Taveau Iv Do Pa 2300 S Clear Creek Rd Suite 101 Killeen TX 76549-4984 Ph: (855) 963-4325 | H. Sprague Taveau Iv Do Pa 2300 S Clear Creek Rd Suite 101 Killeen TX 76549-4984 Ph: (855) 963-4325 |
| NPI Number | 1306930250 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 05/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306930250 | NPI | - | NPPES |
| 140005324 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | J0696 (Texas) | Primary |
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