Individual
MRS. ORANETTA WESLEY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3851 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4501
(210) 916-2118
Mailing address
5602 GINGER RISE, SAN ANTONIO, TX 78253-5673
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN094657
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
659092
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
659092
TEXAS STATE BOARD OF NURSING
TX
01
—
RN094657
RN LICENSE
LA
Enumeration date
06/18/2007
Last updated
11/17/2013
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