Individual
MARVIN E. VAN HAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
729 W BEDFORD EULESS RD, SUITE 106, HURST, TX 76053-3939
(817) 282-1012
(817) 282-1015
Mailing address
729 W BEDFORD EULESS RD, SUITE 106, HURST, TX 76053-3939
(817) 282-1012
(817) 282-1015
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
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