# HERZOG AUSTIN PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FLOSS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376838961
- **Authorized official:** DR. CLINT FINCH HERZOG DDS (CEO/PRESIDENT)
- **Authorized official phone:** (214) 871-7100

## Contact information

- **Practice address:** 1011 W 5TH ST STE 120, AUSTIN, TX 78703-5363
- **Practice address phone:** (512) 617-0101
- **Practice address fax:** (512) 617-0102
- **Mailing address:** 1011 W 5TH ST STE 120, AUSTIN, TX 78703-5363
- **Mailing address phone:** (512) 617-0101
- **Mailing address fax:** (512) 617-0102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 20239 | TX | Yes |
| 122300000X | Dentist | 25630 | TX | — |

## Other

- **Enumeration date:** 06/13/2011
- **Last updated:** 06/13/2011