Individual
DELTA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1404 W BAKER RD, BAYTOWN, TX 77521-2140
(936) 334-2217
Mailing address
1404 W BAKER RD, BAYTOWN, TX 77521-2140
(936) 334-2217
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
—
—
Other
Enumeration date
08/02/2020
Last updated
08/02/2020
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