MR. CHARLES WILLIAM HALL PA NPI 1407997646

NPI Information

NPI: 1407997646
Provider Name: MR. CHARLES WILLIAM HALL, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
415 N BROADWAY
CHINA, TX
ZIP 77613
Phone: (409) 752-2301
Get Directions

MR. Charles William Hall, PA is a medical physician assistant in China, TX. MR. Charles William Hall, PA NPI is 1407997646. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

415 N BROADWAY
CHINA, TX
ZIP 77613
Phone: (409) 752-2301
Fax: (409) 752-5054

The enumeration date for this NPI number is 2/9/2007 and was last updated on 3/5/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA01495	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	S61761	MEDICARE UPIN	TEXAS
2	PA01495	OTHER	TEXAS	LICENSE NUMBER
3	85N737	MEDICARE ID-TYPE UNSPECIFIED	TEXAS
4	141597803	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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