Individual
JOSEPH PAUL HALLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPNP
Contact information
Practice address
4300 HERITAGE TRACE PKWY, FORT WORTH, TX 76244-9127
(817) 431-3898
(817) 431-3909
Mailing address
PO BOX 99371, FORT WORTH, TX 76199-0371
(682) 885-1855
(682) 885-7347
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
691319
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
326475601
—
TX
Enumeration date
01/08/2007
Last updated
11/07/2016
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