Provider Demographics
NPI:1801408588
Name:HILL COUNTRY PLASTIC SURGERY, PLLC
Entity Type:Organization
Organization Name:HILL COUNTRY PLASTIC SURGERY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:JEREMY
Authorized Official - Last Name:FARBER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-853-2447
Mailing Address - Street 1:4 DOMINION DR BLDG 1
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78257-1390
Mailing Address - Country:US
Mailing Address - Phone:646-853-2447
Mailing Address - Fax:210-362-1582
Practice Address - Street 1:4 DOMINION DR BLDG 1
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78257-1390
Practice Address - Country:US
Practice Address - Phone:210-658-3555
Practice Address - Fax:210-362-1582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-23
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty