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NPI Code Detail

MEDICARE: REUBEN WILLIAM HORACE JR. DO

MEDICARE: REUBEN WILLIAM HORACE JR. DO
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
1207P00000XEmergency Medicine Physician2025-04284NC
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1942940630
Entity Type Code : Individual
Provider Name (Legal Business Name) : REUBEN WILLIAM HORACE JR. DO
Provider Business Mailing Address
First Line : 2301 ERWIN RD
Second Line :
City : DURHAM
State : NC
Zip : 27705-4699
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2301 ERWIN RD
Second Line :
City : DURHAM
State : NC
Zip : 27705-4699
Country : US
Telephone Number : 919-684-8111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2022
Last Update Date : 04/22/2026

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