MEDICARE: CHRISTOPHER SHANE HALL M.D.

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	207Q00000X	Family Medicine Physician	48698-020	WI
2	207Q00000X	Family Medicine Physician	M6645	TX

General Provider Information

NPI Number	:	1558442293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER SHANE HALL M.D.

Provider Business Mailing Address
First Line	:	PO BOX 227102
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75222-7102
Country	:	US
Telephone Number	:	972-599-9600
Fax Number	:	972-599-9696

Provider Business Practice Location Address
First Line	:	7300 ELDORADO PKWY STE 200
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-7896
Country	:	US
Telephone Number	:	972-599-9600
Fax Number	:	972-599-9696

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

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	08/26/2022

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Directions to “ CHRISTOPHER SHANE HALL M.D.” Practice Location

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