MEDICARE: HILL COUNTRY PAIN ASSOCIATES, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0000X	Pain Medicine Physician

General Provider Information

NPI Number	:	1780961193
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HILL COUNTRY PAIN ASSOCIATES, P.A.

Provider Business Mailing Address
First Line	:	PO BOX 2387
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78298-2387
Country	:	US
Telephone Number	:	210-582-6600
Fax Number	:	210-447-6341

Provider Business Practice Location Address
First Line	:	2902 GOLIAD RD
Second Line	:	SUITE 105
City	:	SAN ANTONIO
State	:	TX
Zip	:	78223-3958
Country	:	US
Telephone Number	:	210-582-6600
Fax Number	:	210-447-6341

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHARLES MURPHY
Credential	:	M.D.
Telephone Number	:	210-582-6600

Provider Enumeration Date	:	11/14/2011
Last Update Date	:	04/02/2012

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