Individual
ETHAN A HALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390
(214) 645-8600
Mailing address
P.O. BOX 845347, DALLAS, TX 75284
(214) 857-0401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA11465300
NJ
Other
Enumeration date
07/18/2006
Last updated
09/19/2024
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