Organization
THRIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINTON F HERZOG DDS (OWNER)
(214) 420-0100
Entity
Organization
Contact information
Practice address
4020 OAK LAWN AVE, DALLAS, TX 75219-3134
(214) 420-0100
(214) 420-0101
Mailing address
4020 OAK LAWN AVE, DALLAS, TX 75219-3134
(214) 420-0100
(214) 420-0101
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
H4764
TX
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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