| Hill Country Pediatric Psychiatry Pllc | |
|
26254 Interstate 10 W Ste 140 Boerne TX 78006-6503 | |
| (210) 455-0444 | |
| Not Available |
| Full Name | Hill Country Pediatric Psychiatry Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 26254 Interstate 10 W Ste 140, Boerne, Texas |
| Authorized Official Name and Position | Julia Jackson (OWNER/CHILD & ADOL PSYCHIATRIST) |
| Authorized Official Contact | 2104550444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hill Country Pediatric Psychiatry Pllc 26254 Interstate 10 W Ste 140 Boerne TX 78006-6503 Ph: (210) 455-0444 | Hill Country Pediatric Psychiatry Pllc 26254 Interstate 10 W Ste 140 Boerne TX 78006-6503 Ph: (210) 455-0444 |
| NPI Number | 1407594062 |
|---|---|
| Provider Enumeration Date | 05/24/2022 |
| Last Update Date | 12/14/2023 |
| Certification Date | 12/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407594062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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