Organization
SALLY A HALLGREN, D.O., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE JANE WILLIAMS (OFFICE MANAGER)
(817) 877-4787
Entity
Organization
Contact information
Practice address
311 UNIVERSITY DR, FORT WORTH, TX 76107-1924
(817) 877-4787
(817) 877-1654
Mailing address
311 UNIVERSITY DR, FORT WORTH, TX 76107-1924
(817) 877-4787
(817) 877-1654
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
E9484
TX
Other
Enumeration date
10/24/2011
Last updated
11/21/2011
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