Individual
JEAN A. HERTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
12221 MOPAC EXPRESSWAY NORTH, AUSTIN, TX 78758-2483
(512) 901-4015
(512) 901-3915
Mailing address
12221 MOPAC EXPRESSWAY NORTH, AUSTIN, TX 78758-2483
(512) 901-4015
(512) 901-3915
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1722
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173425301
—
TX
Enumeration date
04/21/2006
Last updated
03/26/2009
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