Provider Type Icon

H. SPRAGUE TAVEAU IV DO PA NPI 1306930250


NPI Information

NPI: 1306930250
Provider Name: H. SPRAGUE TAVEAU IV DO PA
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
2300 S CLEAR CREEK RD
SUITE 101
KILLEEN, TX
ZIP 76549
Phone: (855) 963-4325
Get Directions

H. SPRAGUE TAVEAU IV DO PA is a general practice in Killeen, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee H. SPRAGUE TAVEAU IV DO PA NPI is 1306930250. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2300 S CLEAR CREEK RD
SUITE 101
KILLEEN, TX
ZIP 76549-984
Phone: (855) 963-4325
Fax: (855) 963-4325

The provider's authorized official is Horatio Sprague Taveau .
The authorized official title is Owner and has the following contact phone number (855) 963-4325.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 5/16/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeJ0696TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E03551MEDICARE UPINTEXAS
2140005324MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.