Provider Demographics
NPI:1811101751
Name:HIRSCH, JOHN V (MD)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:V
Last Name:HIRSCH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:P.O. BOX 34717
Mailing Address - Street 2:TEJAS ANESTHESIA, P.A.
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78265-4717
Mailing Address - Country:US
Mailing Address - Phone:210-615-1187
Mailing Address - Fax:210-614-2180
Practice Address - Street 1:4242 MEDICAL DRIVE
Practice Address - Street 2:SUITE 3100
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229
Practice Address - Country:US
Practice Address - Phone:210-615-1187
Practice Address - Fax:210-614-2180
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2013-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM9355207L00000X, 207LP3000X
AZ28877207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1961815-01Medicaid
TX196181503Medicaid
TXB104807Medicare PIN