# HERZOG CINCO RANCH PC

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

## Provider details

- **NPI number:** 1609200773
- **Authorized official:** CLINTON F HERZOG DDS (OWNER)
- **Authorized official phone:** (832) 589-0671

## Contact information

- **Practice address:** 9727 SPRING GREEN BLVD, \#200, KATY, TX 77494
- **Practice address phone:** (832) 589-0671
- **Practice address fax:** (832) 589-0677
- **Mailing address:** 9727 SPRING GREEN BLVD, \#200, KATY, TX 77494
- **Mailing address phone:** (832) 589-0671
- **Mailing address fax:** (832) 589-0677

## Taxonomy

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

## Other

- **Enumeration date:** 08/26/2013
- **Last updated:** 08/26/2013