Provider Demographics
NPI:1710553482
Name:HIRT FAMILY CORP.
Entity Type:Organization
Organization Name:HIRT FAMILY CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:HIRT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-597-1271
Mailing Address - Street 1:29 ALEXANDER ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-3872
Mailing Address - Country:US
Mailing Address - Phone:703-597-1271
Mailing Address - Fax:
Practice Address - Street 1:29 ALEXANDER ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-3872
Practice Address - Country:US
Practice Address - Phone:703-597-1271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-02
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity MedicineGroup - Multi-Specialty