Individual
JAMES R HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
855 MONTGOMERY ST, FORT WORTH, TX 76107-2553
(817) 735-2660
(817) 735-5441
Mailing address
PO BOX 99335, FORT WORTH, TX 76199-0335
(817) 735-0170
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
22477
TX
103TC0700X
Clinical Psychologist
22477
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038282201
—
TX
01
—
680002470
RAILROAD MEDICARE
TX
01
—
81032P
BCBS
TX
Enumeration date
06/15/2006
Last updated
07/21/2008
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