Provider Demographics
NPI:1477868115
Name:AESCHBACH, HEINZ (MD)
Entity Type:Individual
Prefix:DR
First Name:HEINZ
Middle Name:
Last Name:AESCHBACH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2824 S CONGRESS AVE
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-6423
Mailing Address - Country:US
Mailing Address - Phone:512-444-5092
Mailing Address - Fax:512-444-5099
Practice Address - Street 1:2824 S CONGRESS AVE
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-6423
Practice Address - Country:US
Practice Address - Phone:512-444-5092
Practice Address - Fax:512-444-5099
Is Sole Proprietor?:No
Enumeration Date:2010-08-17
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE-07752084P0800X
TXE07752084P0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry