Healthcare Provider Details

I. General information

NPI: 1407307051
Provider Name (Legal Business Name): HILL COUNTRY CT SURGERY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2016
Last Update Date: 03/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 SCENIC DR SUITE 2220
GEORGETOWN TX
78626-7703
US

IV. Provider business mailing address

12619 FITZHUGH RD. #2
AUSTIN TX
78736
US

V. Phone/Fax

Practice location:
  • Phone: 512-715-4227
  • Fax: 800-982-7601
Mailing address:
  • Phone: 512-715-4227
  • Fax: 800-982-7601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberP1849
License Number StateTX

VIII. Authorized Official

Name: DR. ELI BECKER
Title or Position: OWNER
Credential: MD
Phone: 512-878-9433