# HILL COUNTRY AUDIOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780805697
- **Authorized official:** DR. MARLA PENNELL AUD CCC-A (OWNER)
- **Authorized official phone:** (512) 763-8855

## Contact information

- **Practice address:** 100 RIVER HILLS DR, STE 105, GEORGETOWN, TX 78628-2764
- **Practice address phone:** (512) 763-8855
- **Mailing address:** 375 TWIN SPRINGS RD, GEORGETOWN, TX 78633-4371
- **Mailing address phone:** (512) 763-8855

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 50953 | TX | Yes |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 12/19/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 112794602 | — | TX |