Doctor Name: | BRANDY L WILSON HALL |
NPI Number: | 1073760765 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 1176859 |
Business Practice Address: | 1500 Jackson St. #400 Richmond, TX - 77469 |
Business Phone Number: | 2813448900 |
Business Fax Number: | 2813448926 |
Mailing Address: | 1500 Jackson St Ste 400, RICHMOND |
State: | TX |
Postal Code: | 774693250 |
Phone Number: | 2813448900 |
Fax Number: | 2813448926 |
NPI Enumeration Date: | 08/25/2008 |
NPI Last Update Date: | 08/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 1176859 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |