Healthcare Provider Details

I. General information

NPI: 1609529551
Provider Name (Legal Business Name): HILL COUNTRY ENDOCRINOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2022
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13625 RONALD W REAGAN BLVD UNIT 300
CEDAR PARK TX
78613-2073
US

IV. Provider business mailing address

202 WALTON WAY SUITE 192 PMB 139
CEDAR PARK TX
78613
US

V. Phone/Fax

Practice location:
  • Phone: 512-522-3009
  • Fax: 512-866-3001
Mailing address:
  • Phone: 512-522-3009
  • Fax: 512-866-3001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: ANDREA GEORGE
Title or Position: OWNER
Credential: MD
Phone: 512-522-3009