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Organization
HILL COUNTRY INTEGRATIVE MEDICINE
Active
Organization
HILL COUNTRY INTEGRATIVE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTA O'LEARY D.O. (OWNER)
(830) 998-0170
Entity
Organization
Contact information
Practice address
1603 E MAIN ST UNIT A, FREDERICKSBURG, TX 78624-5450
(830) 998-0170
Mailing address
106 E MORSE ST, FREDERICKSBURG, TX 78624-3926
(830) 998-0170
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K5643
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750326112
INDIVIDUAL NPI
TX
01
—
TXB109563
MEDICARE PTAN
TX
Enumeration date
06/01/2015
Last updated
08/26/2015
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