Organization Active NPI

Albert L. Hirsch, Jr., M.D. P.a.

  • General Practice Physician
  • Dallas, TX
National Provider Identifier
1174781934
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
F4732 Issued in TX
Legal business name
ALBERT L. HIRSCH, JR., M.D. P.A.
Practice address
1902 Martin Luther King Jr Blvd
Suite 100
Dallas, TX 75215-2807
Phone
(214) 421-1188
Fax
(214) 421-2410
NPI assigned
May 29, 2008
Last updated
May 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Albert L. Hirsch Jr., M.D.NPI 1861404477
Title
President
Phone
(214) 421-1188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X F4732 TX Primary

Addresses

Primary practice location

1902 Martin Luther King Jr Blvd
Suite 100
Dallas, TX 75215-2807

Mailing address

1902 Martin Luther King Jr Blvd
Suite 100
Dallas, TX 75215-2807
Phone (214) 421-1188

Other identifiers 1

IdentifierTypeStateIssuer
0009GNOtherTXBCBS

National Provider Directory

National Provider Directory

Locations

1902 Martin Luther King Jr Blvd
#100
Dallas, TX 75215
Phone (214) 421-1188

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1174781934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752152807",
            "telephone_number": "214-421-1188",
            "fax_number": "214-421-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752152807",
            "telephone_number": "214-421-1188",
            "fax_number": "214-421-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT L. HIRSCH, JR., M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "HIRSCH",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-421-1188",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "F4732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0009GN",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.