Provider Demographics
NPI:1861404477
Name:HIRSCH, ALBERT L JR (MD)
Entity type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:L
Last Name:HIRSCH
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5952 ROYAL LN STE 204
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-7853
Mailing Address - Country:US
Mailing Address - Phone:214-421-1188
Mailing Address - Fax:214-421-2410
Practice Address - Street 1:5952 ROYAL LN STE 204
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230
Practice Address - Country:US
Practice Address - Phone:214-421-1188
Practice Address - Fax:214-421-2410
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2018-05-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXF4732208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8B0280OtherBCBS
TX0009GNOtherBLUE CROSS