Hallock, Joseph Paul

Hallock, Joseph Paul is an individual health care provider with primary practice located at 4300 Heritage Trace Pkwy , Fort Worth TX 76244-9127. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Hallock, Joseph Paul can be contacted via phone (817) 431-3898.

Contact Information

Primary practice address
4300 Heritage Trace Pkwy Fort Worth TX 76244-9127
Phone: (817) 431-3898
Fax: (817) 431-3909
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 691319 Texas

Profile Details

NPI number 1497803985
LBN Legal business name Hallock, Joseph Paul
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Nov 7th, 2016 - about 10 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 1497803985 NPPES
Texas MEDICAID 326475601

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