Individual
MATTHEW BRIAN HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18780 INTERSTATE 20, CANTON, TX 75103-3593
(903) 567-4841
Mailing address
170 MANNING DR, CB #7594, CHAPEL HILL, NC 27599-7594
(919) 966-6440
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R1214
TX
208M00000X
Hospitalist Physician
R1214
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1I5347
MEDICARE
TX
01
—
P02591746
RR MEDICARE
TX
Enumeration date
05/15/2014
Last updated
07/01/2021
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