| Doctor Name: | HORATIO SPRAGUE TAVEAU |
| NPI Number: | 1366632580 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | J0696 |
| Business Practice Address: | 2300 S Clear Creek Rd Suite 101 Killeen, TX - 765494984 |
| Business Phone Number: | 2546344325 |
| Business Fax Number: | 2542004099 |
| Mailing Address: | 2300 S Clear Creek Rd, Suite 101 KILLEEN |
| State: | TX |
| Postal Code: | 765494984 |
| Phone Number: | 8559634325 |
| Fax Number: | 8559634325 |
| NPI Enumeration Date: | 07/25/2007 |
| NPI Last Update Date: | 05/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | J0696 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |