MEDICARE: HLF GROUP, PLLC

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1629583745
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HLF GROUP, PLLC

Provider Business Mailing Address
First Line	:	1310 34TH ST N STE A
Second Line	:
City	:	TEXAS CITY
State	:	TX
Zip	:	77590-6571
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1310 34TH ST N STE A
Second Line	:
City	:	TEXAS CITY
State	:	TX
Zip	:	77590-6571
Country	:	US
Telephone Number	:	409-948-1384
Fax Number	:

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	DR. KYLE HALE
Credential	:	DDS, MPH
Telephone Number	:	409-948-1384

Provider Enumeration Date	:	12/12/2017
Last Update Date	:	12/12/2017

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