Individual
WILLIAM THAZTER HALL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
255 BERT KOUNS LOOP, SHREVEPORT, LA 71106-8150
(318) 683-0411
(318) 603-5461
Mailing address
PO BOX 62600, DEPT 1223, NEW ORLEANS, LA 70162-2600
(318) 683-0411
(318) 603-5461
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
010994
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1160946
—
LA
Enumeration date
06/22/2005
Last updated
07/08/2007
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