Provider Demographics
NPI:1871686436
Name:HILL COUNTRY NEUROSURGERY
Entity Type:Organization
Organization Name:HILL COUNTRY NEUROSURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:OGRADY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-707-7060
Mailing Address - Street 1:4319 JAMES CASEY ST STE 100
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-1189
Mailing Address - Country:US
Mailing Address - Phone:512-707-7060
Mailing Address - Fax:512-707-7838
Practice Address - Street 1:4319 JAMES CASEY ST STE 100
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-1189
Practice Address - Country:US
Practice Address - Phone:512-707-7060
Practice Address - Fax:512-707-7838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ5428174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE63904Medicare UPIN
TX00034FMedicare PIN