Provider Demographics
NPI:1932303864
Name:HILL COUNTRY GENERAL AND ONCOLOGY SURGERY ASSOCIATES P A
Entity Type:Organization
Organization Name:HILL COUNTRY GENERAL AND ONCOLOGY SURGERY ASSOCIATES P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:S
Authorized Official - Last Name:STAUFFER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:830-997-8833
Mailing Address - Street 1:PO BOX 2409
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78624-1906
Mailing Address - Country:US
Mailing Address - Phone:830-997-8833
Mailing Address - Fax:830-990-8725
Practice Address - Street 1:1009 S MILAM ST
Practice Address - Street 2:SUITE 4
Practice Address - City:FREDERICKSBURG
Practice Address - State:TX
Practice Address - Zip Code:78624-4578
Practice Address - Country:US
Practice Address - Phone:830-997-8833
Practice Address - Fax:830-990-8725
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2015-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX122172305Medicaid
TXF33131Medicare UPIN
TX00937UMedicare PIN