Organization
HILL COUNTRY ADVANCED FOOT AND ANKLE CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BLAKE EVERETT JAMAIL (OFFICE MANAGER)
(830) 693-8144
Entity
Organization
Contact information
Practice address
1001 MARBLE HTS, MARBLE FALLS, TX 78654-4543
(830) 693-8144
(830) 693-8145
Mailing address
1001 MARBLE HTS, MARBLE FALLS, TX 78654-4543
(830) 693-8144
(830) 693-8145
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467655845
NPI
—
05
—
1783805-01
—
TX
Enumeration date
06/06/2007
Last updated
06/25/2009
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