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Individual

ALBERT DANE HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1600 11TH ST, WICHITA FALLS, TX 76301-4300
(940) 636-4317
Mailing address
6116 SANDY HILL BLVD, WICHITA FALLS, TX 76310-2851
(940) 636-4317

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
789921
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP136483
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
789921
TEXAS BOARD OF NURSING
TX
Enumeration date
01/22/2018
Last updated
07/25/2025
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