Provider Demographics
NPI:1245402981
Name:ROBERT A. HORVATH M.D. P.A.
Entity Type:Organization
Organization Name:ROBERT A. HORVATH M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:HORVATH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-224-9995
Mailing Address - Street 1:12315 JUDSON RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:LIVE OAK
Mailing Address - State:TX
Mailing Address - Zip Code:78233-3277
Mailing Address - Country:US
Mailing Address - Phone:210-224-9995
Mailing Address - Fax:210-224-5075
Practice Address - Street 1:12315 JUDSON RD
Practice Address - Street 2:SUITE 210
Practice Address - City:LIVE OAK
Practice Address - State:TX
Practice Address - Zip Code:78233-3277
Practice Address - Country:US
Practice Address - Phone:210-224-9995
Practice Address - Fax:210-224-5075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF2718207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00508YOtherMEDICARE ID
TX00GC64OtherBC/BS
TX00GC64OtherEMCID
TX00GC64OtherEMCID
TXB23590Medicare UPIN