Organization
HILL COUNTRY ADVANCED FOOT AND ANKLE CENTER, P.A.
Active
Parent organization
HILL COUNTRY ADVANCED FOOT AND ANKLE CENTER, P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
HILL COUNTRY ADVANCED FOOT AND ANKLE CENTER, P.A.
Authorized official
BLAKE JAMAIL (OFFICE MANAGER)
(830) 693-8144
Entity
Organization
Contact information
Practice address
10201 HIGHWAY 16, COMANCHE, TX 76442-4462
(830) 693-8144
Mailing address
PO BOX 220, MARBLE FALLS, TX 78654-0220
(830) 693-8144
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1744, 1745
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00710Z
GROUP NUMBER
TX
05
—
1783805-01
—
TX
Enumeration date
06/16/2008
Last updated
06/16/2008
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