Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | J3119 | TX |
Y | 2081P2900X | Pain Medicine | J3119 | TX |
NPI | 1356340947 |
---|---|
Provider Name | Dr. David M Hirsch |
First Address | San Antonio, TX 78240-1598 |
Second Address | San Antonio, TX 78240-1598 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2005 |
Last Update Date | 26/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
047871101 | (05) | TX |
F54663 | (02) | TX |