Individual
ANDY HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
821 PEAVY RD, DALLAS, TX 75218-2151
(713) 791-2971
Mailing address
821 PEAVY RD, DALLAS, TX 75218-2151
(713) 791-2971
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
179026
TX
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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