MEDICARE: DR. ROY PETER 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	S0164	TX

General Provider Information

NPI Number	:	1861468696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROY PETER HALL M.D.

Provider Business Mailing Address
First Line	:	2101 CRAWFORD ST STE 207
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77002-8941
Country	:	US
Telephone Number	:	281-407-6683
Fax Number	:	913-660-0998

Provider Business Practice Location Address
First Line	:	2101 CRAWFORD ST STE 207
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77002-8941
Country	:	US
Telephone Number	:	281-407-6683
Fax Number	:	832-986-5640

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

Provider Enumeration Date	:	02/23/2006
Last Update Date	:	03/17/2025

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