Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 92-69 | NM |
Y | 207VX0000X | Obstetrician | K7294 | TX |
NPI | 1063409274 |
---|---|
Provider Name | Anne V. Hale |
First Address | El Paso, TX 79936-7601 |
Second Address | El Paso, TX 79936-7601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2005 |
Last Update Date | 07/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
141260303 | (05) | TX |
F58736 | (02) | NM |