Basic Information
Provider Information
NPI: 1649247693
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HORAK
FirstName: CURRY
MiddleName: E
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: USA MEDDAC EVANS ARMY COMMUNITY HOSPITAL
Address2: 1650 COCHRANE CIRCLE ATTN : CREDENTIALS OFFICE
City: FORT CARSON
State: CO
PostalCode: 809134604
CountryCode: US
TelephoneNumber: 7195267224
FaxNumber: 7195267984
Practice Location
Address1: USA MEDDAC EVANS ARMY COMMUNITY HOSPITAL
Address2: MEDICAL BOARDS
City: FORT CARSON
State: CO
PostalCode: 809134064
CountryCode: US
TelephoneNumber: 7195267273
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/08/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2083X0100X20187COY Allopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine

No ID Information.


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