Organization
HERZOG WEST 38TH PC
Active
Other names
FLOSS
Organization subpart
No
Provider details
NPI number
Authorized official
CLINTON F HERZOG DDS (OWNER)
(512) 615-0100
Entity
Organization
Contact information
Practice address
1005 W 38TH ST, STE 100, AUSTIN, TX 78705-1002
(512) 615-0100
(512) 615-0121
Mailing address
1005 W 38TH ST, STE 100, AUSTIN, TX 78705-1002
(512) 615-0100
(512) 615-0121
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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