Organization Active NPI

Hill Country Food Doctor

  • Podiatrist
  • San Marcos, TX
National Provider Identifier
1447423280
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1349 Issued in TX
Legal business name
HILL COUNTRY FOOD DOCTOR
Practice address
1320 Wonder World Dr
Ste 107
San Marcos, TX 78666-7557
Phone
(512) 805-7787
Fax
(205) 333-5550
NPI assigned
Apr 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert D Parker, DPM
Title
President
Phone
(512) 805-7787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 1349 TX Primary

Addresses

Primary practice location

1320 Wonder World Dr
Ste 107
San Marcos, TX 78666-7557

Mailing address

1320 Wonder World Dr
Ste 107
San Marcos, TX 78666-7557
Phone (512) 805-7787

Other identifiers 2

IdentifierTypeStateIssuer
018587801MedicaidTX
1972597953OtherNPI INDIVIDUAL

National Provider Directory

National Provider Directory

Locations

1320 Wonder World Dr
Ste 107
San Marcos, TX 78666
Phone (512) 667-7921

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1447423280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 WONDER WORLD DR",
            "address_2": "STE 107",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667557",
            "telephone_number": "512-805-7787",
            "fax_number": "205-333-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 WONDER WORLD DR",
            "address_2": "STE 107",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667557",
            "telephone_number": "512-805-7787",
            "fax_number": "205-333-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILL COUNTRY FOOD DOCTOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-805-7787",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018587801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1972597953",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.