Individual
CORY HERZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP,CRNA
Contact information
Practice address
701 MCCLINTIC DR, GROESBECK, TX 76642-2128
(254) 729-3281
Mailing address
701 MCCLINTIC DR, GROESBECK, TX 76642-2128
(254) 729-3281
(254) 729-0238
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1130963
TX
367500000X
Certified Registered Nurse Anesthetist
647231
NY
Other
Enumeration date
07/10/2019
Last updated
11/20/2024
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