Organization
HILL COUNTRY RADIOLOGY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY GAMMONS (CLIENT SERVICES)
(469) 757-1000
Entity
Organization
Contact information
Practice address
1310 PALUXY RD, GRANBURY, TX 76048-5655
(817) 573-2273
Mailing address
PO BOX 1620, GRANBURY, TX 76048-8620
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0084SM
BLUE CROSS AND BLUE SHIELD
TX
05
—
204207901
—
TX
01
—
DP1701
RAILROAD MEDICARE
TX
Enumeration date
05/18/2009
Last updated
09/04/2013
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