Organization
HILL COUNTRY EMERGENCY PHYSICIANS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE PENA JR. MD (CO-PRESIDENT)
(512) 753-3796
Entity
Organization
Contact information
Practice address
1301 WONDER WORLD DR, SAN MARCOS, TX 78666-7533
(512) 753-3796
Mailing address
1301 WONDER WORLD DR, SAN MARCOS, TX 78666-7533
(512) 753-3796
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00013K
BCBS
TX
01
—
095037001
CSHCN
TX
05
—
095037003
—
TX
Enumeration date
10/26/2005
Last updated
04/28/2008
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