Provider Demographics
NPI:1518942085
Name:HORVATH, EDWARD ERIC (DO)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:ERIC
Last Name:HORVATH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1407 TRANQUIL TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-5168
Mailing Address - Country:US
Mailing Address - Phone:210-831-6582
Mailing Address - Fax:
Practice Address - Street 1:1139 E SONTERRA BLVD STE 240A
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4349
Practice Address - Country:US
Practice Address - Phone:210-404-9950
Practice Address - Fax:210-404-9266
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM57612086S0127X, 208600000X, 2086S0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX654613OtherMEDICARE PTAN