Provider Demographics
NPI:1053420935
Name:HILL COUNTRY PAIN ASSOCIATES, P.A.
Entity type:Organization
Organization Name:HILL COUNTRY PAIN ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:W
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-582-6600
Mailing Address - Street 1:PO BOX 2387
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78298-2387
Mailing Address - Country:US
Mailing Address - Phone:210-582-6600
Mailing Address - Fax:210-582-6601
Practice Address - Street 1:14800 SAN PEDRO AVE
Practice Address - Street 2:SUITE 115
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-3733
Practice Address - Country:US
Practice Address - Phone:210-582-6600
Practice Address - Fax:210-582-6601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX177414301Medicaid
TX177414301Medicaid
TX00755ZMedicare PIN