Individual
TRACY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPSGT, CCSH
Contact information
Practice address
116 MINDY WAY, LIBERTY HILL, TX 78642-4526
(504) 407-6708
Mailing address
116 MINDY WAY, LIBERTY HILL, TX 78642-4526
(504) 407-6708
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
548
TX
246Z00000X
Other Specialist/Technologist
Primary
22553
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22553
BOARD OF REGISTERED POLYSOMNOGRAPHIC TECHNOLOGIST
—
01
—
548
BOARD OF REGISTERED POLYSOMNOGRAPHIC TECHNOLOGIST
—
Enumeration date
07/02/2021
Last updated
07/02/2021
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