Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0105X | Surgery of the Hand | H6266 | TX |
Y | 2086S0122X | Plastic and Reconstructive Surgery | H6266 | TX |
NPI | 1316093347 |
---|---|
Provider Name | Dr. Jeffrey W Hall |
First Address | Austin, TX 78746-4945 |
Second Address | Austin, TX 78746-4945 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2007 |
Last Update Date | 31/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G13421 | (02) | TX |