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NPI Code Detail

MEDICARE: DR. IRA ANDREW HOROWITZ M.D.

MEDICARE: DR. IRA ANDREW HOROWITZ M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0001XRadiation Oncology PhysicianE3309TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18R1468OTHERTXBLUE CROSS OF TX
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487696498
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IRA ANDREW HOROWITZ M.D.
Provider Business Mailing Address
First Line : PO BOX 911230
Second Line :
City : DALLAS
State : TX
Zip : 75391-1230
Country : US
Telephone Number : 972-997-8000
Fax Number : 972-437-9605
Provider Business Practice Location Address
First Line : 1901 GRANDVIEW AVE
Second Line :
City : EL PASO
State : TX
Zip : 79902-5113
Country : US
Telephone Number : 915-544-6750
Fax Number : 915-532-4259
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2006
Last Update Date : 02/28/2008

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