Healthcare Provider Details

I. General information

NPI: 1093792293
Provider Name (Legal Business Name): BARRETT CRAIG HALL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2005
Last Update Date: 06/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13601 PRESTON RD STE 1000W
DALLAS TX
75240
US

IV. Provider business mailing address

PO BOX 840853
DALLAS TX
75284-0853
US

V. Phone/Fax

Practice location:
  • Phone: 972-663-8523
  • Fax: 972-663-8329
Mailing address:
  • Phone: 972-715-5000
  • Fax: 972-233-3666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberH6834
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: