Provider Demographics
NPI:1912517384
Name:HILL COUNTRY MOBILE CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:HILL COUNTRY MOBILE CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:GINGER
Authorized Official - Middle Name:
Authorized Official - Last Name:KINCHEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:830-339-2620
Mailing Address - Street 1:PO BOX 2407
Mailing Address - Street 2:
Mailing Address - City:BANDERA
Mailing Address - State:TX
Mailing Address - Zip Code:78003-2407
Mailing Address - Country:US
Mailing Address - Phone:830-339-2620
Mailing Address - Fax:
Practice Address - Street 1:6135 STATE HWY 173 N
Practice Address - Street 2:
Practice Address - City:BANDERA
Practice Address - State:TX
Practice Address - Zip Code:78003
Practice Address - Country:US
Practice Address - Phone:830-339-2620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-31
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty