Provider Demographics
NPI:1144321373
Name:HORACEK, HENRY JOSEPH JR (MD)
Entity type:Individual
Prefix:DR
First Name:HENRY
Middle Name:JOSEPH
Last Name:HORACEK
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:10716 CARMEL COMMONS BLVD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-3783
Mailing Address - Country:US
Mailing Address - Phone:704-542-9590
Mailing Address - Fax:
Practice Address - Street 1:10716 CARMEL COMMONS BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-3783
Practice Address - Country:US
Practice Address - Phone:704-542-9590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC245992084N0400X, 2084N0402X, 2084P0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Not Answered2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
Not Answered2084P0005XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurodevelopmental Disabilities