MEDICARE: ANGELA R HALL NP

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	363L00000X	Nurse Practitioner	664615	TX

General Provider Information

NPI Number	:	1891731220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA R HALL NP

Provider Business Mailing Address
First Line	:	5603 GRACE POINT LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77048-1847
Country	:	US
Telephone Number	:	713-734-2040
Fax Number	:

Provider Business Practice Location Address
First Line	:	5603 GRACE POINT LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77048-1847
Country	:	US
Telephone Number	:	713-734-2040
Fax Number	:

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

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	02/28/2008

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