MEDICARE: MAURICE MAURER HORN

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
1	344600000X	Taxi	453860707	TX

General Provider Information

NPI Number	:	1720324577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAURICE MAURER HORN

Provider Business Mailing Address
First Line	:	11755 SOUTH LAKE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077
Country	:	US
Telephone Number	:	281-796-1320
Fax Number	:

Provider Business Practice Location Address
First Line	:	11755 SOUTHLAKE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-6716
Country	:	US
Telephone Number	:	281-796-1320
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/26/2012
Last Update Date	:	12/26/2012

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Directions to “ MAURICE MAURER HORN ” Practice Location

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