Provider Demographics
NPI:1528180221
Name:MAURICE A. CLICK, JR., M.D., P.A.
Entity Type:Organization
Organization Name:MAURICE A. CLICK, JR., M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MAURICE
Authorized Official - Middle Name:A
Authorized Official - Last Name:CLICK
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:956-794-8850
Mailing Address - Street 1:1710 E SAUNDERS ST
Mailing Address - Street 2:SUITE B660
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-5443
Mailing Address - Country:US
Mailing Address - Phone:956-794-8850
Mailing Address - Fax:956-794-8750
Practice Address - Street 1:1710 E SAUNDERS ST
Practice Address - Street 2:SUITE B660
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-5443
Practice Address - Country:US
Practice Address - Phone:956-794-8850
Practice Address - Fax:956-794-8750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG8049207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB21900Medicare UPIN
TX00932TMedicare PIN