Individual
DR. BRADLEY ALLEN HALL I
Active
Individual
DR. BRADLEY ALLEN HALL I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
12049
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12049
STATE LICENSE
TX
Enumeration date
09/13/2012
Last updated
11/04/2013
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