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1407307051 NPI number — HILL COUNTRY CT SURGERY PLLC

NPI Number: 1407307051
Health Care Provider/Practitioner: HILL COUNTRY CT SURGERY PLLC

Information about “1407307051” NPI (HILL COUNTRY CT SURGERY PLLC) exists in 1407307051 in HTML format HTML  |  1407307051 in plain Text format TXT  |  1407307051 in PDF (Portable Document Format) PDF  |  1407307051 in an XML format XML  formats.

NPI Number : 1407307051 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1407307051",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HILL COUNTRY CT SURGERY PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "12619 FITZHUGH RD.",
    "SecondLineMailingAddress": "#2",
    "MailingAddressCityName": "AUSTIN",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78736",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "512-715-4227",
    "MailingAddressFaxNumber": "800-982-7601",
    "FirstLinePracticeLocationAddress": "1900 SCENIC DR",
    "SecondLinePracticeLocationAddress": "SUITE 2220",
    "PracticeLocationAddressCityName": "GEORGETOWN",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78626-7703",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "512-715-4227",
    "PracticeLocationAddressFaxNumber": "800-982-7601",
    "EnumerationDate": "10/19/2016",
    "LastUpdateDate": "03/15/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BECKER",
    "AuthorizedOfficialFirstName": "ELI",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "512-878-9433",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "208G00000X",
        "TaxonomyName": "Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician",
        "LicenseNumber": "P1849",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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