Provider Demographics
NPI:1033347042
Name:HALL, CARA LYNN (DC)
Entity Type:Individual
Prefix:MS
First Name:CARA
Middle Name:LYNN
Last Name:HALL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 S DENTON TAP RD STE 285
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-5064
Mailing Address - Country:US
Mailing Address - Phone:972-304-3900
Mailing Address - Fax:972-304-2066
Practice Address - Street 1:215 S DENTON TAP RD STE 285
Practice Address - Street 2:
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-5064
Practice Address - Country:US
Practice Address - Phone:972-304-3900
Practice Address - Fax:972-304-2066
Is Sole Proprietor?:No
Enumeration Date:2009-06-29
Last Update Date:2011-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9797111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor