Provider Demographics
NPI:1396791331
Name:CLICK, MAURICE A JR (MD)
Entity type:Individual
Prefix:DR
First Name:MAURICE
Middle Name:A
Last Name:CLICK
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:619 E CALTON RD
Mailing Address - Street 2:STE1
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-3689
Mailing Address - Country:US
Mailing Address - Phone:956-794-8850
Mailing Address - Fax:956-727-1383
Practice Address - Street 1:619 E CALTON RD
Practice Address - Street 2:STE 1
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-3689
Practice Address - Country:US
Practice Address - Phone:956-794-8850
Practice Address - Fax:956-727-1383
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-25
Last Update Date:2013-11-06
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Provider Licenses
StateLicense IDTaxonomies
TXG8049207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX131345407Medicaid
TX8805B8Medicare PIN
TXB21900Medicare UPIN