Healthcare Provider Details
I. General information
NPI: 1649303009
Provider Name (Legal Business Name): HALL CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/14/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6170 SHERRY LN SUITE 300
DALLAS TX
75225-6350
US
IV. Provider business mailing address
6170 SHERRY LN SUITE 300
DALLAS TX
75225-6350
US
V. Phone/Fax
- Phone: 214-373-0002
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NN0400X |
| Taxonomy | Neurology Chiropractor |
| License Number | 5455 |
| License Number State | TX |
VIII. Authorized Official
Name: DR.
CARA
HALL
Title or Position: OWNER
Credential: DC
Phone: 214-373-0002