Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 50735 | TN |
Y | 204F00000X | Transplant Surgeon | Q5420 | TX |
NPI | 1508020074 |
---|---|
Provider Name | David Ryan Hall |
First Address | Houston, TX 77005-3540 |
Second Address | Houston, TX 77030-1501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2008 |
Last Update Date | 20/08/2021 |