Active NPI
Hill Country Radiology Associates PLLC
- Diagnostic Radiology Physician
- Granbury, TX
National Provider Identifier
1083849269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- HILL COUNTRY RADIOLOGY ASSOCIATES PLLC
- Practice address
- 1310 Paluxy Rd
Granbury, TX 76048-5655 - Phone
- (817) 573-2273
- NPI assigned
- May 18, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cindy Gammons
- Title
- Client Services
- Phone
- (469) 757-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1310 Paluxy Rd
Granbury, TX 76048-5655
Mailing address
PO Box 1620
Granbury, TX 76048-8620
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DP1701 | Other | TX | RAILROAD MEDICARE |
| 204207901 | Medicaid | TX | |
| 0084SM | Other | TX | BLUE CROSS AND BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
2929 S Hampton Rd
#H
Dallas, TX 75224
Phone (214) 623-4873
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Fort Worth, TX
- NPI 1548208754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1378252800000",
"number": "1083849269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1620",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760488620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 PALUXY RD",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760485655",
"telephone_number": "817-573-2273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HILL COUNTRY RADIOLOGY ASSOCIATES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-18",
"last_updated": "2013-09-04",
"status": "A",
"authorized_official_last_name": "GAMMONS",
"authorized_official_first_name": "CINDY",
"authorized_official_title_or_position": "CLIENT SERVICES",
"authorized_official_telephone_number": "469-757-1000"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DP1701",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204207901",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIELD",
"identifier": "0084SM",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Granbury, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.