Individual ProviderVictoria HertzNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3705 Medical Pkwy, Suite 570, Austin, TX 78705-1019(512) 454-2554(972) 715-5000PECOS EnrollmentBased on the most recent information from CMS, provider Victoria Hertz does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1124209531Provider TypeIndividualFull NameHertz, VictoriaCredentialCRNAGenderFemaleSole ProprietorNoEnumeration Date11/14/2007Last Updated6/17/2020Contact InformationPractice LocationPractice Address3705 Medical Pkwy, Suite 570, Austin, TX 78705-1019Phone(512) 454-2554Fax(512) 454-1532Mailing LocationMailing AddressPO Box 840853 Suite 570, Dallas, TX 75284-1019Phone(972) 715-5000Fax(972) 715-9976Provider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP116439TexasCode367500000XDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicense744306Texas