Provider Demographics
NPI:1235395393
Name:HILL COUNTRY DC PLLC
Entity Type:Organization
Organization Name:HILL COUNTRY DC PLLC
Other - Org Name:HILL COUNTRY CHIROPRACTIC JUNCTION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:IRA
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:KIRKPATRICK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:325-446-9500
Mailing Address - Street 1:602 1/2 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:JUNCTION
Mailing Address - State:TX
Mailing Address - Zip Code:76849-4635
Mailing Address - Country:US
Mailing Address - Phone:325-446-9500
Mailing Address - Fax:325-446-9500
Practice Address - Street 1:602 1/2 MAIN ST
Practice Address - Street 2:
Practice Address - City:JUNCTION
Practice Address - State:TX
Practice Address - Zip Code:76849-4635
Practice Address - Country:US
Practice Address - Phone:325-446-9500
Practice Address - Fax:325-446-9500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-29
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6081111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX088433002Medicaid
TX8238112OtherBLUE LINK
TX350038896OtherRR- MEDICARE
TX088433002Medicaid
TX604026Medicare PIN