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Mr. Charles William Hall SR., PA
Medical Physician Assistant in China, Texas
NPI 1407997646

Charles William Hall SR. is a Medical Physician Assistant based in China, TX and is specialized in Medical. Charles William Hall SR. practices in China, TX and has the professional credentials of PA. The NPI Number for Charles William Hall SR. is 1407997646 and holds a License No. PA01495 (Texas).

The current practice location address for Charles William Hall SR. is 415 N Broadway, China, TX and can be reached out via phone at 409-752-2301 and via fax at 409-752-5054.

Location: 415 N Broadway, China, TX, 77613-0786
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407997646
Provider Name
Charles William Hall SR.
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
415 N Broadway, China, TX, 77613-0786
Phone Number
409-752-2301
Fax Number
409-752-5054
Provider Enumeration Date
02/09/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
141597803 05 TX
PA01495 01 TX LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
415 N Broadway
City
China
State
Texas
Zip
77613
Phone Number
409-752-2301
Fax Number
409-752-5054
person
Provider Business Mailing Address Details
Address
415 N Broadway
City
China
State
Texas
Zip
77613
Phone Number
409-752-2301
Fax Number
409-752-5054
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA01495 (Texas)
Definition
Definition to come...
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