Individual ProviderJohn V HirschAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address4242 Medical Drive, Suite 3100, San Antonio, TX 78229(210) 615-1187PECOS EnrollmentBased on the most recent information from CMS, provider John V Hirsch 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 34 days ago.Profile DetailsProvider ID1811101751Provider TypeIndividualFull NameHirsch, John VTitleMr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date5/10/2007Last Updated3/7/2013Contact InformationPractice LocationPractice Address4242 Medical Drive, Suite 3100, San Antonio, TX 78229Phone(210) 615-1187Fax(210) 614-2180Mailing LocationMailing AddressP.O. Box 34717, Tejas Anesthesia, P.A., San Antonio, TX 78265-4717Phone(210) 615-1187Fax(210) 614-2180Provider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicense28877ArizonaCode207L00000XDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseM9355TexasCode207LP3000XDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseM9355TexasProvider IdentifiersIDDescriptionIssuerID1961815-01DescriptionMedicaidIssuerUnlistedTexasID196181503DescriptionMedicaidIssuerUnlistedTexas