Organization Name: | HILL COUNTRY ADVANCED FOOT AND ANKLE CENTER, P.A. |
NPI Number: | 1689834376 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BLAKE JAMAIL (OFFICE MANAGER) |
Mailing Address: | 200 County Road 340a 4 Burnet |
State: | TX US |
Postal Code: | 786114537 |
Phone Number: | 8306938144 |
Fax Number: | |
NPI Enumeration Date: | 06/16/2008 |
NPI Last Update Date: | 06/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |