Individual
KYLE JEROME HALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1032
(512) 509-0100
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
BP10053756
TX
207P00000X
Emergency Medicine Physician
Primary
R7471
TX
Other
Enumeration date
06/30/2015
Last updated
03/03/2022
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