Individual
MRS. DANIELLA G HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2100 N MAIN ST, FORT WORTH, TX 76164-8570
(817) 625-4254
Mailing address
2100 N MAIN ST., FORT WORTH, TX 76164
(817) 625-4254
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 06164
TX
Other
Enumeration date
01/11/2010
Last updated
05/31/2012
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