| Hill Country Health Pllc | |
|
1010 Ranch Road 620 S Ste 107 Lakeway TX 78734-5638 | |
| (217) 721-0961 | |
| Not Available |
| Full Name | Hill Country Health Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1010 Ranch Road 620 S Ste 107, Lakeway, Texas |
| Authorized Official Name and Position | Fatima Hatia (OWNER) |
| Authorized Official Contact | 3098681522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hill Country Health Pllc 1010 Rr 620 S Ste 107 Lakeway TX 78734-5638 Ph: (217) 721-0961 | Hill Country Health Pllc 1010 Ranch Road 620 S Ste 107 Lakeway TX 78734-5638 Ph: (217) 721-0961 |
| NPI Number | 1720686496 |
|---|---|
| Provider Enumeration Date | 10/14/2020 |
| Last Update Date | 01/07/2021 |
| Medicare PECOS PAC ID | 1951716307 |
|---|---|
| Medicare Enrollment ID | O20210216002636 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720686496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Secondary |
| Provider Name | Fatima S Hatia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245469832 PECOS PAC ID: 6103077383 Enrollment ID: I20170120001844 |
| Provider Name | Humza Shahid Azam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740576271 PECOS PAC ID: 0941526230 Enrollment ID: I20210518000559 |
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