Individual
DR. RANDALL STANTON HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
601 S MAIN ST STE 200, KELLER, TX 76248-7028
(817) 912-8060
(817) 912-8070
Mailing address
601 S MAIN ST STE 200, SUITE 200, KELLER, TX 76248-7028
(817) 912-8060
(817) 912-8070
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
L3673
TX
207UN0901X
Nuclear Cardiology Physician
L3673
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150872301
—
TX
05
—
150872302
—
TX
01
—
8CA479
BCBS
TX
Enumeration date
08/15/2005
Last updated
01/11/2023
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