# HERZOG WEST 38TH PC

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

## Provider details

- **NPI number:** 1770849952
- **Authorized official:** CLINTON F HERZOG DDS (OWNER)
- **Authorized official phone:** (512) 615-0100

## Contact information

- **Practice address:** 1005 W 38TH ST, STE 100, AUSTIN, TX 78705-1002
- **Practice address phone:** (512) 615-0100
- **Practice address fax:** (512) 615-0121
- **Mailing address:** 1005 W 38TH ST, STE 100, AUSTIN, TX 78705-1002
- **Mailing address phone:** (512) 615-0100
- **Mailing address fax:** (512) 615-0121

## Taxonomy

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

## Other

- **Enumeration date:** 04/02/2012
- **Last updated:** 04/02/2012