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HILL COUNTRY LIFESTYLE MEDICINE CENTER PLLC NPI 1619527082


NPI Information

NPI: 1619527082
Provider Name: HILL COUNTRY LIFESTYLE MEDICINE CENTER, PLLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
19115 FM 2252 STE 7
GARDEN RIDGE, TX
ZIP 78266
Phone: (210) 233-9440
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HILL COUNTRY LIFESTYLE MEDICINE CENTER, PLLC is a general practice in Garden Ridge, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee HILL COUNTRY LIFESTYLE MEDICINE CENTER, PLLC NPI is 1619527082. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

19115 FM 2252 STE 7
GARDEN RIDGE, TX
ZIP 78266-578
Phone: (210) 233-9440
Fax: (210) 233-9024

The provider's authorized official is Venkat Srinivasan .
The authorized official title is Owner and has the following contact phone number (210) 233-9440.

The enumeration date for this NPI number is 9/17/2019 and was last updated on 10/17/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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