Healthcare Provider Details

I. General information

NPI: 1578651287
Provider Name (Legal Business Name): RICHARD L HORAK II M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 SAMFORD TRACE CT UNIT 120
AUBURN AL
36830-6234
US

IV. Provider business mailing address

890 N DEAN RD STE 500
AUBURN AL
36830-9454
US

V. Phone/Fax

Practice location:
  • Phone: 334-291-2022
  • Fax:
Mailing address:
  • Phone: 334-821-2708
  • Fax: 334-821-3309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number26959
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207RS0010X
TaxonomySports Medicine (Internal Medicine) Physician
License NumberMD.26959
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: