Individual
DR. AMANDA BROOKE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
9701 HARMON RD STE 141, FORT WORTH, TX 76177-7521
(817) 306-5630
(817) 306-5631
Mailing address
833 TOWNE CT, SAGINAW, TX 76179-1280
(817) 306-5630
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
BP10044541
TX
207Q00000X
Family Medicine Physician
Primary
Q1988
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350777401
—
TX
Enumeration date
06/21/2014
Last updated
11/18/2019
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