Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | H0420 | TX |
N | 208600000X | Surgeon | H0420 | TX |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | H0420 | TX |
NPI | 1154418671 |
---|---|
Provider Name | Dr. Charles Harlow Hallman |
First Address | Houston, TX 77030-2607 |
Second Address | Houston, TX 77030-2607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2006 |
Last Update Date | 23/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
330002333 | RAILROAD MEDICARE (01) | TX |