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NPI Code Detail

MEDICARE: JAMES M HALL

MEDICARE: JAMES M HALL
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
1164X00000XLicensed Vocational Nurse78380TX

General Provider Information

NPI Number : 1598269649
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES M HALL
Provider Business Mailing Address
First Line : 2508 VIA NICOLA APT 3517
Second Line :
City : FORT WORTH
State : TX
Zip : 76109-5588
Country : US
Telephone Number : 325-660-1957
Fax Number :
Provider Business Practice Location Address
First Line : 2508 VIA NICOLA APT 3517
Second Line :
City : FORT WORTH
State : TX
Zip : 76109-5588
Country : US
Telephone Number : 325-660-1957
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2018
Last Update Date : 03/22/2018

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