# HERZOG SAN ANTONIO PC

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

## Provider details

- **NPI number:** 1518207802
- **Authorized official:** DR. CLINTON FINCH HERZOG DDS (OWNER)
- **Authorized official phone:** (214) 218-1666

## Contact information

- **Practice address:** 19903 STONE OAK PKWY, BUILDING 1 SUITE 103, SAN ANTONIO, TX 78258-6953
- **Practice address phone:** (210) 293-0101
- **Practice address fax:** (210) 293-0102
- **Mailing address:** 19903 STONE OAK PKWY, BUILDING 1 SUITE 103, SAN ANTONIO, TX 78258-6953
- **Mailing address phone:** (210) 293-0101
- **Mailing address fax:** (210) 293-0102

## Taxonomy

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

## Other

- **Enumeration date:** 02/22/2013
- **Last updated:** 02/22/2013