Individual
TERRI HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
901 W BEN WHITE BLVD, AUSTIN, TX 78704-6903
(512) 447-2211
Mailing address
1222 S CHURCH ST, GEORGETOWN, TX 78626-6802
(512) 694-7079
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
H2432
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131415505
—
TX
05
—
131415507
—
TX
Enumeration date
05/16/2006
Last updated
11/24/2008
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