Hall, Eric E

Hall, Eric E is an sole proprietor health care provider with primary practice located at 2006 Moores Ln , Texarkana TX 75503-1840. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Hall, Eric E can be contacted via phone (903) 792-6944.

Contact Information

Primary practice address
2006 Moores Ln Texarkana TX 75503-1840
Phone: (903) 792-6944
Fax: (903) 792-6213
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X F1615 Texas

Profile Details

NPI number 1619966371
LBN Legal business name Hall, Eric E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2005
Last updated May 6th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619966371 NPPES
Texas Other 00LB97 BCBS
Texas MEDICAID 122152503 BCBS
Texas Other 83393 BCBS
Texas MEDICAID 107681001 BCBS
Texas MEDICAID 100152100B BCBS
Texas MEDICAID 122152505 BCBS

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