Organization
CHINA COMMUNITY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES W HALL PA-C (PROVIDER)
(409) 752-2301
Entity
Organization
Contact information
Practice address
415 N BROADWAY, CHINA, TX 77613
(409) 752-2301
(409) 752-5054
Mailing address
PO BOX 786, CHINA, TX 77613-0786
(409) 752-2301
(409) 752-5054
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F2352
TX
Other
Enumeration date
11/09/2006
Last updated
08/22/2020
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