Provider Demographics
NPI:1073611588
Name:HALL, RONALD GENE II (PHARMD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:GENE
Last Name:HALL
Suffix:II
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4500 LANCASTER
Mailing Address - Street 2:BLDG 7, R# 119A
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75216
Mailing Address - Country:US
Mailing Address - Phone:214-372-5300
Mailing Address - Fax:214-372-5020
Practice Address - Street 1:4500 LANCASTER
Practice Address - Street 2:BLDG 7, R# 119A
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75216
Practice Address - Country:US
Practice Address - Phone:214-372-5300
Practice Address - Fax:214-372-5020
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX409831835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy