Provider Demographics
NPI:1710686860
Name:HERSCHBERG, AARON
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:HERSCHBERG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4812 STRANZ LN
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-1912
Mailing Address - Country:US
Mailing Address - Phone:214-293-9507
Mailing Address - Fax:
Practice Address - Street 1:4812 STRANZ LN
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-1912
Practice Address - Country:US
Practice Address - Phone:214-293-9507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program