Organization
HILL COUNTRY EAR, NOSE & THROAT, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES F. LANO JR. M.D. (PRESIDENT)
(830) 629-5830
Entity
Organization
Contact information
Practice address
42 GRUENE PARK DR, NEW BRAUNFELS, TX 78130-2460
(830) 629-5830
(830) 629-3647
Mailing address
42 GRUENE PARK DR, NEW BRAUNFELS, TX 78130-2460
(830) 629-5830
(830) 629-3647
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
J9902
TX
231H00000X
Audiologist
51495
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0057DJ
BLUE CROSS BLUE SHIELD
TX
05
—
081439401
—
TX
05
—
081439402
—
TX
05
—
081439403
—
TX
Enumeration date
02/26/2007
Last updated
09/22/2011
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