H. Sprague Taveau IV Do PA

NPI #1306930250 in Killeen, Texas

Provider Information

NPI Number: 1306930250
Entity Type: Organization
Organization Name: H. Sprague Taveau IV Do PA
Primary Specialty: General Practice
Enumeration Date: Oct 3, 2006
Last Updated: May 16, 2014

Practice Location

Address: 2300 S CLEAR CREEK RD
Address 2: SUITE 101
City: Killeen
State: Texas
ZIP Code: 76549-4984
Phone: (855) 963-4325

Authorized Official

Name: HORATIO SPRAGUE TAVEAU IV, DO
Title: OWNER
Phone: (855) 963-4325

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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