Individual
AUSTIN E HEERSCHAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5000 LONG PRAIRIE RD, FLOWER MOUND, TX 75028-2783
(972) 420-1776
(972) 221-8685
Mailing address
5000 LONG PRAIRIE RD, FLOWER MOUND, TX 75028-2783
(972) 420-1776
(972) 221-8685
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA09386
TX
363AM0700X
Medical Physician Assistant
Primary
PA09386
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00317Y
MEDICARE PTAN EMPLOYER
—
01
—
1477830677
NPI TYPE 2 GROUP EMPLOYER
TX
01
—
1588749766
NPI TYPE 2 GROUP EMPLOYER
TX
01
—
385783YK02
MEDICARE PTAN INDIVIDUAL
TX
01
—
PA09386
PA LICENSE
TX
Enumeration date
12/16/2014
Last updated
02/19/2015
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