Provider Demographics
NPI:1386840197
Name:HAU, HORACIO GUILLERMO (MD)
Entity Type:Individual
Prefix:
First Name:HORACIO
Middle Name:GUILLERMO
Last Name:HAU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 18753
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78480-8753
Mailing Address - Country:US
Mailing Address - Phone:361-673-3613
Mailing Address - Fax:
Practice Address - Street 1:6629 WOOLDRIDGE RD
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-2909
Practice Address - Country:US
Practice Address - Phone:361-673-3613
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM6180207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX200308901Medicaid
TXTXB126270OtherPMG, PA
TXTXB126270OtherPMG, PA