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Individual

MS. DORIS RENEE HALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
2660 AERO DR, PORT ARTHUR, TX 77640-1528
(409) 729-2227
(409) 729-2001
Mailing address
2660 AERO DR, PORT ARTHUR, TX 77640-1528
(409) 729-2227
(409) 729-2001

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19448
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005838001
TX
01
0933135
CIGNA HEALTHCARE OF TX
TX
01
15476
UTMB-CHIPS
TX
01
746012298001
HUMANA MILITARY HEALTHCAR
TX
01
87806T
BLUE CROSS BLUE SHIELD-TX
TX
Enumeration date
08/19/2005
Last updated
05/01/2008
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