Hall, Randall Stanton
Hall, Randall Stanton is an individual health care provider with primary practice located at 601 S Main St Ste 200 , Keller TX 76248-7028. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Hall, Randall Stanton can be contacted via phone (817) 912-8060.Contact Information
Primary practice address
601 S Main St Ste 200
Keller TX 76248-7028
Phone: (817) 912-8060
Fax: (817) 912-8070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | L3673 | Texas |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | L3673 | Texas |
Profile Details
| NPI number | 1902808439 |
|---|---|
| LBN Legal business name | Hall, Randall Stanton |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Jan 11th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902808439 | NPPES |
| Texas | MEDICAID | 150872302 | |
| Texas | MEDICAID | 150872301 | |
| Texas | Other | 8CA479 |
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