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NPI Code Detail

MEDICARE: MISS GLENDA HALL AGPCNP-BC

MEDICARE:  MISS GLENDA  HALL  AGPCNP-BC
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
1363LG0600XGerontology Nurse Practitioner1034327TX

General Provider Information

NPI Number : 1396332235
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS GLENDA HALL AGPCNP-BC
Provider Business Mailing Address
First Line : 11511 SHADOW CREEK PKWY
Second Line :
City : PEARLAND
State : TX
Zip : 77584-7298
Country : US
Telephone Number : 713-442-0000
Fax Number :
Provider Business Practice Location Address
First Line : 11110 EAST FWY STE 200
Second Line :
City : HOUSTON
State : TX
Zip : 77029-1914
Country : US
Telephone Number : 713-450-3505
Fax Number : 713-451-4321
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2020
Last Update Date : 12/17/2025

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Directions to “ MISS GLENDA HALL AGPCNP-BC” Practice Location

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