MEDICARE: DR. ANAS AL HALLAK MD

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
1	207R00000X	Internal Medicine Physician	R1486	TX

General Provider Information

NPI Number	:	1386059046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANAS AL HALLAK MD

Provider Business Mailing Address
First Line	:	1162 W PIONEER PKWY
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-6367
Country	:	US
Telephone Number	:	202-813-7037
Fax Number	:

Provider Business Practice Location Address
First Line	:	1162 W PIONEER PKWY
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-6367
Country	:	US
Telephone Number	:	469-850-6931
Fax Number	:	469-242-9825

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2014
Last Update Date	:	10/31/2023

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