Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 5455 | TX |
NPI | 1477578409 |
---|---|
Provider Name | Dr. Michael W Hall |
First Address | Lewisville, TX 75067-6716 |
Second Address | Lewisville, TX 75067-6716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 17/03/2018 |