Active NPI
Hill Country Integrative Medicine
- Family Medicine Physician
- Fredericksburg, TX
National Provider Identifier
1477933851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K5643
- Legal business name
- HILL COUNTRY INTEGRATIVE MEDICINE
- Practice address
- 1603 E Main St Unit a
Fredericksburg, TX 78624-5450 - Phone
- (830) 998-0170
- NPI assigned
- Jun 1, 2015
- 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
- Dr. Christa O'Leary, D.O.
- Title
- Owner
- Phone
- (830) 998-0170
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K5643 | TX | Primary |
Addresses
Primary practice location
1603 E Main St Unit a
Fredericksburg, TX 78624-5450
Mailing address
106 E Morse St
Fredericksburg, TX 78624-3926
Phone (830) 998-0170
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750326112 | Other | TX | INDIVIDUAL NPI |
| TXB109563 | Other | TX | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440547200000",
"number": "1477933851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 E MORSE ST",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786243926",
"telephone_number": "830-998-0170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1603 E MAIN ST UNIT A",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786245450",
"telephone_number": "830-998-0170"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HILL COUNTRY INTEGRATIVE MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-01",
"last_updated": "2015-08-26",
"status": "A",
"authorized_official_last_name": "O'LEARY",
"authorized_official_first_name": "CHRISTA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "830-998-0170",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "K5643",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1750326112",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "TXB109563",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, TX
- Hill Country Facial Plastic Surgery Center
- Hill Country General and Oncology Surgery Associates P a
- Hill Country Home Health & Hospice, LLC
- Hill Country Hospice, LLC
- Hill Country Imaging Associates PA
- Hill Country Memorial Community Services Corporation
- Hill Country Memorial Hospital
- Hill Country Memorial Hospital
- Hill Country Memorial Hospital
- Hill Country Memorial Hospital-CHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.