Individual
JEFFREY STEWART HALLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16000 PARK VALLEY DRIVE, SUITE #130, ROUND ROCK, TX 78681-4009
(512) 244-3422
(512) 255-6829
Mailing address
16000 PARK VALLEY DRIVE, SUITE #130, ROUND ROCK, TX 78681-4009
(512) 244-3422
(512) 255-6829
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
H1588
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00DU91
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/12/2007
Last updated
07/08/2007
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