Individual
ANN LEE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
11910 GREENVILLE AVENUE, SUITE 650, DALLAS, TX 75243-3596
(214) 373-9092
(214) 373-9250
Mailing address
PO BOX 741475, DALLAS, TX 75374-1475
(214) 373-9092
(214) 373-9250
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
216153
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137078512
—
TX
01
—
83328U
BCBS OF TX
TX
01
—
P00035122
RR MEDICARE
TX
Enumeration date
07/25/2006
Last updated
08/03/2011
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