Individual
CARIANDRA MEGHAN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2535 IRA E WOODS AVE, GRAPEVINE, TX 76051-3930
(817) 481-2121
(817) 488-4493
Mailing address
2535 IRA E WOODS AVE, GRAPEVINE, TX 76051-3930
(817) 481-2121
(817) 488-4493
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05741
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8Y8420
BC/BS TEXAS
TX
01
—
P00684447
RAILROAD MEDICARE
TX
Enumeration date
05/21/2008
Last updated
04/27/2020
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