Individual
GREGORY DWAYNE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4522 FREDERICKSBURG RD STE A10A88A, SAN ANTONIO, TX 78201-6521
(210) 617-5300
Mailing address
22803 TORNILLO DR, SAN ANTONIO, TX 78258-2591
(210) 689-9516
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
752225
TX
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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