Provider Demographics
NPI:1831353044
Name:HILL COUNTRY DIZZINESS & BALANCE CENTER, PLLC
Entity type:Organization
Organization Name:HILL COUNTRY DIZZINESS & BALANCE CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANAND
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHENDALE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:830-895-7675
Mailing Address - Street 1:218 QUINLAN ST
Mailing Address - Street 2:SUITE 474
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-5314
Mailing Address - Country:US
Mailing Address - Phone:830-895-7675
Mailing Address - Fax:830-896-9340
Practice Address - Street 1:1331 BANDERA HWY
Practice Address - Street 2:SUITE 1B
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-9515
Practice Address - Country:US
Practice Address - Phone:830-792-2132
Practice Address - Fax:830-792-2131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-16
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF1974207R00000X
TXM6514207Y00000X
TXG11122084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty