Individual
DR. JOHN R HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9150 HUEBNER RD STE 290, SAN ANTONIO, TX 78240
(210) 614-6432
(210) 615-3586
Mailing address
18626 HARDY OAK BLVD STE 300, SAN ANTONIO, TX 78258-4228
(210) 495-9047
(210) 293-3901
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
J4179
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
J4179
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122147505
—
TX
Enumeration date
11/25/2005
Last updated
02/06/2019
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