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Individual

DR. GLENN DAVID HIRSCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4111 MARATHON BLVD, SUITE A, AUSTIN, TX 78756-3719
(512) 302-3128
Mailing address
2202 TOWNES LN, AUSTIN, TX 78703-2330
(512) 680-3764
(512) 708-9387

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
E9234
TX

Other

Enumeration date
05/24/2007
Last updated
07/08/2007
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