Provider Demographics
NPI:1558376301
Name:HILL COUNTRY MEC, LP
Entity Type:Organization
Organization Name:HILL COUNTRY MEC, LP
Other - Org Name:CENTRAL TEXAS CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:A
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-629-2273
Mailing Address - Street 1:1050 N IH 35
Mailing Address - Street 2:STE 100
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-3785
Mailing Address - Country:US
Mailing Address - Phone:830-629-2273
Mailing Address - Fax:830-629-9675
Practice Address - Street 1:1050 N IH 35
Practice Address - Street 2:STE 100
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3785
Practice Address - Country:US
Practice Address - Phone:830-629-2273
Practice Address - Fax:830-629-9675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF4093207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE64884Medicare UPIN