Individual
DR. CHARLES HALLER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(210) 292-6835
Mailing address
1100 WILFORD HALL LOOP, LACKLAND AFB, TX 78236-5638
(210) 292-7026
(210) 292-7737
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
S5641
TX
Other
Enumeration date
05/19/2014
Last updated
03/24/2025
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