1528180221 NPI number — MAURICE A. CLICK, JR., M.D., P.A.

Table of content: (NPI 1528180221)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528180221 NPI number — MAURICE A. CLICK, JR., M.D., P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MAURICE A. CLICK, JR., M.D., P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528180221
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/05/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1710 E SAUNDERS ST
Provider Second Line Business Mailing Address:
SUITE B660
Provider Business Mailing Address City Name:
LAREDO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78041-5443
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
956-794-8850
Provider Business Mailing Address Fax Number:
956-794-8750

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1710 E SAUNDERS ST
Provider Second Line Business Practice Location Address:
SUITE B660
Provider Business Practice Location Address City Name:
LAREDO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78041-5443
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-794-8850
Provider Business Practice Location Address Fax Number:
956-794-8750
Provider Enumeration Date:
04/04/2007

Additional Information

Authorized Official

Authorized Official Last Name:
CLICK
Authorized Official First Name:
MAURICE
Authorized Official Middle Name:
A.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
956-794-8850

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  G8049 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com