Healthcare Provider Details
I. General information
NPI: 1144681800
Provider Name (Legal Business Name): HILL COUNTRY MONITORING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/09/2016
Last Update Date: 03/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
650 POYDAS ST STE 1400
NEW ORLEANS LA
70130
US
IV. Provider business mailing address
PO BOX 59001 DEPT 4010
TULSA OK
74159-9001
US
V. Phone/Fax
- Phone: 844-743-5552
- Fax: 877-688-8872
- Phone: 844-743-5552
- Fax: 877-688-8872
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207T00000X |
| Taxonomy | Neurological Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
STEVE
THOMAS
Title or Position: DIRECTOR/OFFICER
Credential:
Phone: 918-743-5552