Individual
MRS. TINA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
3551 ROGER BROOKE DR, MCHE QD (CREDS), FORT SAM HOUSTON, TX 78234-4501
(210) 539-9582
Mailing address
3851 ROGER BROOKE DR, MCHE QD (CREDS), FORT SAM HOUSTON, TX 78234-4501
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP08074
LA
Other
Enumeration date
11/17/2014
Last updated
09/22/2021
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