Individual
DR. EUGENE A HERZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
302 SOUTH GRAND, GAINESVILLE, TX 76240
(940) 665-5543
(940) 665-8404
Mailing address
PO BOX 718, GAINESVILLE, TX 76241
(940) 665-5543
(940) 665-8404
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E6808TX
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091986201
—
TX
Enumeration date
09/01/2006
Last updated
05/14/2008
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