Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 57473 | TN |
N | 208000000X | Pediatrician | R2610 | TX |
Y | 2080P0204X | Pediatric Emergency Doctor | 57473 | TN |
NPI | 1316366644 |
---|---|
Provider Name | Dr. Thao-Phuong Christy Hallett |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-4402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2014 |
Last Update Date | 15/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
373717301 | (05) | TX |
373717302 | CSHCN (01) | TX |