Mr Charles William Hall Sr, PA is a
Physician Assistant - Medical based in China, Texas. Mr Charles William Hall Sr is licensed to practice in Texas (license number PA01495) and his current practice location is
415 N Broadway, China, Texas. He can be reached at his office (for appointments etc.) via phone at
(409) 752-2301.
NPI number for Mr Charles William Hall Sr is 1407997646 and his current mailing address is Po Box 786, China, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407997646.
Provider's Profile
| Full Name | Mr Charles William Hall Sr |
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| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 415 N Broadway, China, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1407997646
- Provider Enumeration Date: 02/09/2007
- Last Update Date: 03/05/2012
Medical Identifiers
Medical identifiers for Mr Charles William Hall Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407997646 | NPI | - | NPPES |
| 141597803 | Medicaid | TX | |
| PA01495 | Other | TX | LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | PA01495 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Charles William Hall Sr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Charles William Hall Sr, PA
Po Box 786,
China, TX 77613-0786
Ph: (409) 752-2301 | Mr Charles William Hall Sr, PA
415 N Broadway,
China, TX 77613
Ph: (409) 752-2301 |
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