Individual
MANDA L HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1100 W 49TH ST, AUSTIN, TX 78756-3101
(512) 776-7321
Mailing address
17064 CONWAY SPRINGS CT, AUSTIN, TX 78717-2989
(512) 426-4846
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
M9724
TX
Other
Enumeration date
07/18/2006
Last updated
01/13/2021
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