Individual
AUDREY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11937 US HIGHWAY 271, TYLER, TX 75708-3154
(903) 877-5070
Mailing address
PO BOX 731912, DALLAS, TX 75373-1912
(903) 877-5070
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT83780
TX
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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