Organization
PHILIP B. HALLORAN, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP BRADLEY HALLORAN MD (SOLE PROPRIETOR)
(214) 823-6340
Entity
Organization
Contact information
Practice address
3600 GASTON AVE, SUITE 701, DALLAS, TX 75246-1800
(214) 823-6340
(214) 823-6344
Mailing address
3600 GASTON AVE, SUITE 701, DALLAS, TX 75246-1800
(214) 823-6340
(214) 823-6344
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OOP112
BLUE CROSS ID #
TX
Enumeration date
01/04/2006
Last updated
08/22/2020
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