Individual
DR. ANDREW MARK HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1615 TRUEMPER ST, BUILDING 6418, JBSA LACKLAND, TX 78236-5511
(941) 412-6498
Mailing address
12803 WEST AVE, APARTMENT 18304, SAN ANTONIO, TX 78216-1813
(941) 412-6498
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30432
TX
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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