Basic Information
| Provider Information | |||||||||
| NPI: | 1215536073 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HIRSCHHAUSER | ||||||||
| FirstName: | COLE | ||||||||
| MiddleName: | S | ||||||||
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| Credential: | PT, DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8627 CINNAMON CREEK DR STE 402 | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782401482 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2108920359 | ||||||||
| FaxNumber: | 2102539355 | ||||||||
| Practice Location | |||||||||
| Address1: | 7003 S NEW BRAUNFELS AVE STE 114 | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782234589 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2108920359 | ||||||||
| FaxNumber: | 2102539355 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/22/2020 | ||||||||
| LastUpdateDate: | 10/22/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/22/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 1334867 | TX | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.