Hall, Jerry

Hall, Jerry is an individual health care provider with primary practice located at 1901 Sw H K Dodgen Loop Bldg 300 , Temple TX 76502-1814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as his primary health care specialty. Hall, Jerry can be contacted via phone (254) 724-5437.

Contact Information

Primary practice address
1901 Sw H K Dodgen Loop Bldg 300 Temple TX 76502-1814
Phone: (254) 724-5437
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X J2046 Texas

Profile Details

NPI number 1952361669
LBN Legal business name Hall, Jerry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Dec 7th, 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 1952361669 NPPES
Texas MEDICAID 1205320-05
Texas Other 8S6323
Texas Other 1205320-06

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