Individual
BRENDA C HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2002 OXFORD AVE, LUBBOCK, TX 79410
(806) 793-8869
(806) 793-0043
Mailing address
2002 OXFORD AVE, LUBBOCK, TX 79410
(806) 793-8869
(806) 793-0043
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03044
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00271685
RAILROAD MEDICARE
TX
Enumeration date
09/24/2006
Last updated
11/14/2007
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