| Doctor Name: | MRS. MARIE ELAINE HALL |
| NPI Number: | 1194878314 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | PA02743 |
| Business Practice Address: | 502 E. San Patricio Mathis, TX - 783682266 |
| Business Phone Number: | 3615474121 |
| Business Fax Number: | 3615474132 |
| Mailing Address: | 3389 Ocean Dr, CORPUS CHRISTI |
| State: | TX |
| Postal Code: | 784111406 |
| Phone Number: | 3616610388 |
| Fax Number: | 3616610573 |
| NPI Enumeration Date: | 01/19/2007 |
| NPI Last Update Date: | 04/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA02743 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |