MEDICARE: LATOYA HALL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator	40093945	TX

General Provider Information

NPI Number	:	1639000268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LATOYA HALL

Provider Business Mailing Address
First Line	:	20515 CYPRESS PLAZA PKWY APT 6207
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77433-0195
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2855 MANGUM RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77092-7493
Country	:	US
Telephone Number	:	713-505-1269
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2026
Last Update Date	:	05/25/2026

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Directions to “ LATOYA HALL ” Practice Location

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