Provider Demographics
NPI:1063428795
Name:HILL COUNTRY MEC, LP
Entity type:Organization
Organization Name:HILL COUNTRY MEC, LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:A
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-396-3962
Mailing Address - Street 1:900 BUGG LN
Mailing Address - Street 2:STE 210
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-8086
Mailing Address - Country:US
Mailing Address - Phone:512-396-3962
Mailing Address - Fax:512-396-3968
Practice Address - Street 1:900 BUGG LN
Practice Address - Street 2:STE 210
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-8086
Practice Address - Country:US
Practice Address - Phone:512-396-3962
Practice Address - Fax:512-396-3968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF4093207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE64884Medicare UPIN