MEDICARE: CHRISTIAN J HIRSCH M.D. PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208C00000X	Colon & Rectal Surgery Physician	204067	NY
2	208C00000X	Colon & Rectal Surgery Physician	T5124	TX
3	208600000X	Surgery Physician	T5124	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0192217	OTHER	NY	GHI PPO#
2	6C1591	OTHER	NY	HEALTHNET ID#
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	260874829	OTHER	NY	TAX IDENTIFICATION NUMBER
5	2J6581	OTHER	NY	EMPIRE BCBS #
6	5989636	OTHER	NY	AETNA PPO#
7	P927644	OTHER	NY	OXFORD ID#
8	1733914	OTHER	NY	AETNA HMO
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871602789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTIAN J HIRSCH M.D. PC

Provider Business Mailing Address
First Line	:	13814 CAPTAIN KIDD DR
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78418-6381
Country	:	US
Telephone Number	:	917-544-1369
Fax Number	:

Provider Business Practice Location Address
First Line	:	5802 SARATOGA BLVD STE 120
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78414-4253
Country	:	US
Telephone Number	:	361-881-3582
Fax Number	:	361-881-3584

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	11/06/2025

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