Provider Demographics
NPI:1215606082
Name:HILL COUNTRY PELVIC HEALTH PLLC
Entity Type:Organization
Organization Name:HILL COUNTRY PELVIC HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ANGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:NESRSTA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:830-428-3044
Mailing Address - Street 1:137 BROADMOOR ST
Mailing Address - Street 2:
Mailing Address - City:MEADOWLAKES
Mailing Address - State:TX
Mailing Address - Zip Code:78654-6622
Mailing Address - Country:US
Mailing Address - Phone:214-208-4750
Mailing Address - Fax:
Practice Address - Street 1:608 GATEWAY CENTRAL
Practice Address - Street 2:
Practice Address - City:MARBLE FALLS
Practice Address - State:TX
Practice Address - Zip Code:78654-6354
Practice Address - Country:US
Practice Address - Phone:830-428-3044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-07
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty