Active NPI
Hill Country Emergency Physicians PA
- Emergency Medicine Physician
- San Marcos, TX
National Provider Identifier
1750371027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- HILL COUNTRY EMERGENCY PHYSICIANS PA
- Practice address
- 1301 Wonder World Dr
San Marcos, TX 78666-7533 - Phone
- (512) 753-3796
- NPI assigned
- Oct 26, 2005
- 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
- Jose Pena Jr., MD
- Title
- Co-President
- Phone
- (512) 753-3796
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
1301 Wonder World Dr
San Marcos, TX 78666-7533
Mailing address
1301 Wonder World Dr
San Marcos, TX 78666-7533
Phone (512) 753-3796
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 095037001 | Other | TX | CSHCN |
| 095037003 | Medicaid | TX | |
| 00013K | Other | TX | BCBS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- San Marcos, TX
- NPI 1720078090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209340800000",
"number": "1750371027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 WONDER WORLD DR",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786667533",
"telephone_number": "512-753-3796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 WONDER WORLD DR",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786667533",
"telephone_number": "512-753-3796"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HILL COUNTRY EMERGENCY PHYSICIANS PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-26",
"last_updated": "2008-04-28",
"status": "A",
"authorized_official_last_name": "PENA",
"authorized_official_first_name": "JOSE",
"authorized_official_title_or_position": "CO-PRESIDENT",
"authorized_official_telephone_number": "512-753-3796",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "095037001",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "095037003",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00013K",
"state": "TX"
}
],
"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 28, 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.