Healthcare Provider Details
I. General information
NPI: 1538351267
Provider Name (Legal Business Name): HILL COUNTRY MONITORING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/16/2007
Last Update Date: 08/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3724 EXECUTIVE CENTER DR SUITE 163
AUSTIN TX
78731-1646
US
IV. Provider business mailing address
PO BOX 59001 - DEPARTMENT 4010
TULSA OK
74159-9001
US
V. Phone/Fax
- Phone: 877-485-4474
- Fax:
- Phone:
- Fax:
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:
STEVE
THOMAS
Title or Position: CEO
Credential:
Phone: 918-743-5552