Individual
CHARLES ROLAND HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
207 HALL ST, BANGS, TX 76823
(325) 752-6521
(325) 752-8101
Mailing address
PO BOX 489, BANGS, TX 76823-0489
(325) 752-6521
(325) 752-8101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H0417
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099801502
—
TX
01
—
120001045
RR MEDICARE
TX
Enumeration date
08/31/2006
Last updated
05/21/2008
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