Provider Demographics
NPI:1538467311
Name:HILLCOUNTRY ARTHRITIS CENTER, P.A.
Entity Type:Organization
Organization Name:HILLCOUNTRY ARTHRITIS CENTER, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DARUSH
Authorized Official - Middle Name:
Authorized Official - Last Name:RAHMANI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:830-693-2005
Mailing Address - Street 1:PO BOX 1549
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78627-1549
Mailing Address - Country:US
Mailing Address - Phone:830-693-4333
Mailing Address - Fax:888-524-4073
Practice Address - Street 1:3415B N US HIGHWAY 281
Practice Address - Street 2:
Practice Address - City:MARBLE FALLS
Practice Address - State:TX
Practice Address - Zip Code:78654-3871
Practice Address - Country:US
Practice Address - Phone:830-693-4333
Practice Address - Fax:888-524-4073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-03
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3708207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB129025Medicare PIN