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NPI Code Detail

MEDICARE: MALLORIE LOU MORTON HALL CNM, IBCLC

MEDICARE: MALLORIE LOU MORTON HALL CNM, IBCLC
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
1367A00000XAdvanced Practice Midwife

General Provider Information

NPI Number : 1245954858
Entity Type Code : Individual
Provider Name (Legal Business Name) : MALLORIE LOU MORTON HALL CNM, IBCLC
Provider Business Mailing Address
First Line : 411 N WASHINGTON AVE STE 2700
Second Line :
City : DALLAS
State : TX
Zip : 75246-1735
Country : US
Telephone Number : 214-975-3937
Fax Number : 469-309-7787
Provider Business Practice Location Address
First Line : 411 N WASHINGTON AVE STE 2700
Second Line :
City : DALLAS
State : TX
Zip : 75246-1735
Country : US
Telephone Number : 214-975-3937
Fax Number : 469-309-7787
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2022
Last Update Date : 06/11/2023

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