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NPI Code Detail

MEDICARE: MISS SELINA HALL C-PNP

MEDICARE: MISS SELINA HALL C-PNP
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
1363LP0200XPediatric Nurse Practitioner697440TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235437617
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS SELINA HALL C-PNP
Provider Business Mailing Address
First Line : 1821 WIRT RD
Second Line :
City : HOUSTON
State : TX
Zip : 77055-2406
Country : US
Telephone Number : 713-468-9000
Fax Number : 713-468-9002
Provider Business Practice Location Address
First Line : 1821 WIRT RD
Second Line :
City : HOUSTON
State : TX
Zip : 77055-2406
Country : US
Telephone Number : 713-468-9000
Fax Number : 713-468-9002
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2011
Last Update Date : 05/13/2014

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Directions to “ MISS SELINA HALL C-PNP” Practice Location

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