Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | H6268 | TX |
NPI | 1285787085 |
---|---|
Provider Name | Dr. Robin Annette Hall |
First Address | Southlake, TX 76092-6375 |
Second Address | Southlake, TX 76092-6375 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2007 |
Last Update Date | 14/11/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E45979 | (02) | TX |