Provider Demographics
NPI:1689971582
Name:HILL COUNTRY DIGESTIVE HEALTH PLLC
Entity Type:Organization
Organization Name:HILL COUNTRY DIGESTIVE HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GASTROENTEROLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:RENSCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:830-896-5005
Mailing Address - Street 1:PO BOX 290647
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78029-0647
Mailing Address - Country:US
Mailing Address - Phone:830-257-0375
Mailing Address - Fax:830-257-0049
Practice Address - Street 1:420 WATER ST
Practice Address - Street 2:SUITE 103
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-5200
Practice Address - Country:US
Practice Address - Phone:830-896-5005
Practice Address - Fax:830-257-0049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-12
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL3450207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNG01551Medicare UPIN
TXB129524Medicare PIN