Individual
CARL L HALL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
959 E. US HWY 69, EMORY, TX 75440
(903) 473-4523
Mailing address
959 E. US HWY 69, EMORY, TX 75440
(903) 473-4523
(903) 473-4525
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21559
STATE OF TEXAS
TX
Enumeration date
09/11/2020
Last updated
09/11/2020
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