Provider Demographics
NPI:1225075112
Name:HILL COUNTRY PEDIATRICS P.A.
Entity Type:Organization
Organization Name:HILL COUNTRY PEDIATRICS P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BARTLETT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-241-1370
Mailing Address - Street 1:6618 SITIO DEL RIO BLVD
Mailing Address - Street 2:A101
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78730-1143
Mailing Address - Country:US
Mailing Address - Phone:512-241-1370
Mailing Address - Fax:512-241-1374
Practice Address - Street 1:6618 SITIO DEL RIO BLVD
Practice Address - Street 2:A101
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78730-1143
Practice Address - Country:US
Practice Address - Phone:512-241-1370
Practice Address - Fax:512-241-1374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ5969208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG33328Medicare UPIN