Organization
HILL COUNTRY SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERARD PENNINGTON MD (PRESIDENT)
(512) 353-8661
Entity
Organization
Contact information
Practice address
1305 WONDER WORLD DR, STE 100, SAN MARCOS, TX 78666-7502
(512) 353-8661
Mailing address
1305 WONDER WORLD DR, STE 100, SAN MARCOS, TX 78666-7546
(512) 353-8661
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
J1347
TX
213E00000X
Podiatrist
1440
TX
Other
Enumeration date
09/26/2006
Last updated
01/13/2009
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