Healthcare Provider Details

I. General information

NPI: 1407766736
Provider Name (Legal Business Name): KATELYN HALL FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

980 RAINTREE CIR
ALLEN TX
75013-5066
US

IV. Provider business mailing address

980 RAINTREE CIR
ALLEN TX
75013-5066
US

V. Phone/Fax

Practice location:
  • Phone: 214-383-2600
  • Fax: 214-383-2601
Mailing address:
  • Phone: 214-383-2600
  • Fax: 214-383-2601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1012084
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: