Individual
DR. THAO-PHUONG CHRISTY HALLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-4402
(615) 322-3000
Mailing address
719 THOMPSON LN STE 30330, NASHVILLE, TN 37204-4701
(615) 322-3000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
57473
TN
208000000X
Pediatrics Physician
R2610
TX
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
57473
GA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
57473
TN
208M00000X
Hospitalist Physician
R2610
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373717301
—
TX
01
—
373717302
CSHCN
TX
Enumeration date
04/15/2014
Last updated
07/07/2022
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