Provider Demographics
NPI:1205228400
Name:HIRSCH& ASSOCIATES, PC
Entity Type:Organization
Organization Name:HIRSCH& ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:N
Authorized Official - Last Name:HIRSCH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:281-332-3852
Mailing Address - Street 1:1025 E MAIN ST
Mailing Address - Street 2:STE 100
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-2495
Mailing Address - Country:US
Mailing Address - Phone:281-332-3852
Mailing Address - Fax:
Practice Address - Street 1:1025 E MAIN ST
Practice Address - Street 2:STE 100
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-2495
Practice Address - Country:US
Practice Address - Phone:281-332-3852
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-24
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22870103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX033476501Medicaid
TX033476501Medicaid