Organization
HERZOG AUSTIN PC
Active
Other names
FLOSS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINT FINCH HERZOG DDS (CEO/PRESIDENT)
(214) 871-7100
Entity
Organization
Contact information
Practice address
1011 W 5TH ST STE 120, AUSTIN, TX 78703-5363
(512) 617-0101
(512) 617-0102
Mailing address
1011 W 5TH ST STE 120, AUSTIN, TX 78703-5363
(512) 617-0101
(512) 617-0102
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20239
TX
122300000X
Dentist
25630
TX
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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