Organization
HILL COUNTRY AUDIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARLA PENNELL AUD CCC-A (OWNER)
(512) 763-8855
Entity
Organization
Contact information
Practice address
100 RIVER HILLS DR, STE 105, GEORGETOWN, TX 78628-2764
(512) 763-8855
Mailing address
375 TWIN SPRINGS RD, GEORGETOWN, TX 78633-4371
(512) 763-8855
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
50953
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112794602
—
TX
Enumeration date
05/01/2007
Last updated
12/19/2012
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