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Contact Information

CHARLES W HALL SR, PA
415 N BROADWAY
CHINA, TX77613
 Phone: 409-752-2301
 Fax: 409-752-5054
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CHARLES W HALL SR · (Male)

NPI # 1407997646
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 02/09/2007
Last updated 03/05/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # PA01495
  • TX Medicaid 141597803
  • TX Other PA01495 LICENSE NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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