MEDICARE: HILL COUNTRY HEALTHCARE SYSTEMS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1346437076
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HILL COUNTRY HEALTHCARE SYSTEMS LLC

Provider Business Mailing Address
First Line	:	PO BOX 226656
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75222-6656
Country	:	US
Telephone Number	:	214-943-9431
Fax Number	:	214-943-9407

Provider Business Practice Location Address
First Line	:	6521 SAN PEDRO
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-7214
Country	:	US
Telephone Number	:	214-943-9431
Fax Number	:	214-943-9407

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	LINDA L RILEY
Credential	:
Telephone Number	:	214-943-9431

Provider Enumeration Date	:	09/26/2007
Last Update Date	:	06/13/2012

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