Provider Demographics
NPI:1710479530
Name:FRITSCHE, HERBERT A JR (PHD)
Entity Type:Individual
Prefix:MR
First Name:HERBERT
Middle Name:A
Last Name:FRITSCHE
Suffix:JR
Gender:M
Credentials:PHD
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Mailing Address - Street 1:12117 BEE CAVES ROAD
Mailing Address - Street 2:BUILDING 3 SUITE 100
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78738
Mailing Address - Country:US
Mailing Address - Phone:512-519-0400
Mailing Address - Fax:512-439-2038
Practice Address - Street 1:12117 BEE CAVES ROAD
Practice Address - Street 2:BUILDING 3 SUITE 100
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78738
Practice Address - Country:US
Practice Address - Phone:512-519-0400
Practice Address - Fax:512-439-2038
Is Sole Proprietor?:No
Enumeration Date:2018-06-06
Last Update Date:2018-06-06
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physician