Individual
MARVIN E. VAN HAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
H9171
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031DF
BLUE CROSS BLUE SHIELD
TX
01
—
180192000
DEPARTMENT OF LABOR
TX
Enumeration date
06/24/2006
Last updated
07/16/2012
Update your record
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