MEDICARE: HILL COUNTRY HYDRATION AND WELLNESS, PLLC

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	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1558220087
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HILL COUNTRY HYDRATION AND WELLNESS, PLLC

Provider Business Mailing Address
First Line	:	703 KREUTZBERG RD
Second Line	:
City	:	BOERNE
State	:	TX
Zip	:	78006-7826
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	703 KREUTZBERG RD
Second Line	:
City	:	BOERNE
State	:	TX
Zip	:	78006-7826
Country	:	US
Telephone Number	:	830-431-2183
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	HEATHER ANNE ORUM
Credential	:	FNP
Telephone Number	:	830-431-3462

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

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