Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 12970 | TX |
NPI | 1033287297 |
---|---|
Provider Name | Dr. Thomas F Hall |
First Address | Houston, TX 77008 |
Second Address | Houston, TX 77008 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2006 |
Last Update Date | 08/07/2007 |