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NPI Code Detail

MEDICARE: EDWARD ERIC HORVATH D.O.

MEDICARE: EDWARD ERIC HORVATH D.O.
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
12086S0127XTrauma Surgery PhysicianM5761TX
2208600000XSurgery PhysicianM5761TX
32086S0102XSurgical Critical Care PhysicianM5761TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1654613OTHERTXMEDICARE PTAN

General Provider Information

NPI Number : 1518942085
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARD ERIC HORVATH D.O.
Provider Business Mailing Address
First Line : 1407 TRANQUIL TRAIL DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78232-5168
Country : US
Telephone Number : 210-831-6582
Fax Number :
Provider Business Practice Location Address
First Line : 1139 E SONTERRA BLVD STE 240A
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78258-4349
Country : US
Telephone Number : 210-404-9950
Fax Number : 210-404-9266
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2005
Last Update Date : 01/04/2022

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Directions to “ EDWARD ERIC HORVATH D.O.” Practice Location

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