Organization
ROBERT R. HORANZY M.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT RAYMOND HORANZY M.D. (PLLC)
(580) 369-2803
Entity
Organization
Contact information
Practice address
107 S 3RD ST, DAVIS, OK 73030-2305
(580) 369-2803
(580) 369-3497
Mailing address
RR 2 BOX 396, SULPHUR, OK 73086-9674
(580) 369-2803
(580) 369-3497
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20039
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
168463590-001
BLUECROSS
OK
Enumeration date
09/15/2006
Last updated
08/22/2020
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