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Brandon Hertzog

NPI 1073047080 · on the registry since 2017

Practice

Address
7011 Declan Vly
San Antonio, TX 78242
Phone
(210) 526-1887

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
390200000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-08-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas